Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $301.89 / $5,135.00	Facility		$24.88	$301.89	$5,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $42.67 / $101.95	Professional		$14.91	$42.67	$101.95
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 $17.27 / $33.11 / $71.48	Professional		$17.27	$33.11	$71.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $25.90 / $49.66 / $107.22	Professional	50	$25.90	$49.66	$107.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $18.35 / $21.53	Facility		$14.68	$18.35	$21.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $85.06 / $103.77	Professional		$66.23	$85.06	$103.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $48.92 / $97.66	Professional		$14.39	$48.92	$97.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $120.32 / $325.62	Facility		$36.81	$120.32	$325.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $49.80 / $97.66	Professional		$15.42	$49.80	$97.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $72.49 / $105.24	Professional		$52.14	$72.49	$105.24
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $64.23 / $109.69	Professional		$40.34	$64.23	$109.69