Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.39 / $465.00 / $4,275.00	Facility		$110.39	$465.00	$4,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $114.34 / $213.68	Professional		$64.94	$114.34	$213.68
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 $102.05 / $153.24 / $258.41	Professional		$102.05	$153.24	$258.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $103.64 / $103.64	Facility		$71.17	$103.64	$103.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $135.11 / $143.55	Professional		$135.11	$135.11	$143.55
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 $67.80 / $128.18 / $230.74	Professional		$67.80	$128.18	$230.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.89 / $229.89 / $319.44	Facility		$229.89	$229.89	$319.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $132.54 / $230.91	Professional		$73.27	$132.54	$230.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.23 / $155.52	Professional		$81.79	$110.23	$155.52
United Facility/Professional Facility Modifier Low / Median / High Price $398.88 / $965.00 / $2,914.00	Facility		$398.88	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.70 / $150.53 / $233.21	Professional		$108.70	$150.53	$233.21