Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.52 / $2,040.00 / $9,534.00	Facility		$68.52	$2,040.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $62.71 / $128.06	Professional		$38.27	$62.71	$128.06
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 $38.21 / $63.86 / $110.51	Professional		$38.21	$63.86	$110.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $61.70 / $61.70	Facility		$42.37	$61.70	$61.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $80.38 / $80.38	Professional		$61.56	$80.38	$80.38
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 $40.71 / $69.81 / $127.87	Professional		$40.71	$69.81	$127.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $927.47 / $927.47 / $927.47	Facility		$927.47	$927.47	$927.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $72.69 / $125.24	Professional		$43.61	$72.69	$125.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $74.53 / $102.79	Professional		$54.68	$74.53	$102.79
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 $62.80 / $84.40 / $157.97	Professional		$62.80	$84.40	$157.97