Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $102.46 / $10,268.00	Facility		$10.09	$102.46	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $12.76 / $24.36	Professional		$6.78	$12.76	$24.36
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 $7.59 / $14.76 / $26.53	Professional		$7.59	$14.76	$26.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $11.38 / $22.14 / $39.79	Professional	50	$11.38	$22.14	$39.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $7.15 / $7.15	Facility		$7.15	$7.15	$7.15
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 $6.87 / $13.20 / $27.78	Professional		$6.87	$13.20	$27.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $51.22 / $60.18	Facility		$37.21	$51.22	$60.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $13.94 / $30.07	Professional		$7.15	$13.94	$30.07
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 $11.55 / $16.55 / $28.88	Professional		$11.55	$16.55	$28.88