Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.35 / $1,755.18 / $9,504.00	Facility		$108.35	$1,755.18	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $108.73 / $202.64	Professional		$71.51	$108.73	$202.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $112.46 / $189.22	Professional		$73.02	$112.46	$189.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.70 / $114.62 / $114.62	Facility		$78.70	$114.62	$114.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.64 / $127.68 / $127.68	Professional		$97.64	$127.68	$127.68
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 $81.76 / $127.55 / $203.12	Professional		$81.76	$127.55	$203.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $67.72 / $1,025.02	Facility		$0.73	$67.72	$1,025.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $129.96 / $198.00	Professional		$84.40	$129.96	$198.00
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 $103.07 / $134.97 / $235.53	Professional		$103.07	$134.97	$235.53