Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $772.67 / $9,504.00	Facility		$42.68	$772.67	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $62.45 / $128.99	Professional		$25.11	$62.45	$128.99
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 $31.39 / $53.56 / $99.98	Professional		$31.39	$53.56	$99.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.08 / $80.34 / $149.97	Professional	50	$47.08	$80.34	$149.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $39.77 / $39.77	Facility		$27.31	$39.77	$39.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $88.45 / $88.45	Professional		$66.47	$88.45	$88.45
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 $26.25 / $66.73 / $125.97	Professional		$26.25	$66.73	$125.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $157.11 / $344.91 / $441.27	Facility		$157.11	$344.91	$441.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $71.68 / $132.63	Professional		$28.12	$71.68	$132.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
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 $58.60 / $83.37 / $143.54	Professional		$58.60	$83.37	$143.54