Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $96.26 / $6,582.00	Facility		$15.83	$96.26	$6,582.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $28.00 / $52.17	Professional		$12.98	$28.00	$52.17
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 $13.30 / $20.91 / $41.38	Professional		$13.30	$20.91	$41.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $19.95 / $31.36 / $62.07	Professional	50	$19.95	$31.36	$62.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $17.14 / $20.09	Facility		$13.71	$17.14	$20.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $40.78 / $49.75	Professional		$31.41	$40.78	$49.75
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 $13.20 / $28.92 / $48.05	Professional		$13.20	$28.92	$48.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $102.52 / $207.19	Facility		$48.10	$102.52	$207.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $29.61 / $49.81	Professional		$14.40	$29.61	$49.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $35.67 / $52.62	Professional		$26.07	$35.67	$52.62
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 $23.49 / $33.13 / $58.21	Professional		$23.49	$33.13	$58.21