Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $16.02 / $359.00	Facility		$16.02	$16.02	$359.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $16.28 / $244.00	Professional		$12.18	$16.28	$244.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.30 / $238.63 / $378.99	Professional		$178.30	$238.63	$378.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $367.79 / $12,674.97	Facility		$24.64	$367.79	$12,674.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $383.67 / $677.06	Professional		$25.58	$383.67	$677.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.02 / $19.02	Facility		$19.02	$19.02	$19.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $22.86 / $79.53	Professional		$19.07	$22.86	$79.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.02 / $19.02	Facility		$19.02	$19.02	$19.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $79.53 / $79.53	Professional		$26.82	$79.53	$79.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $1,009.00 / $3,218.00	Facility		$467.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $20.69 / $35.72	Professional		$13.62	$20.69	$35.72