Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $2,547.00 / $10,635.00	Facility		$58.14	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $42.33 / $74.17	Professional		$39.10	$42.33	$74.17
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 $34.46 / $47.10 / $84.17	Professional		$34.46	$47.10	$84.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $62.64 / $62.64	Facility		$43.02	$62.64	$62.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $46.40 / $57.04	Professional		$46.40	$46.40	$57.04
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 $39.44 / $60.90 / $107.20	Professional		$39.44	$60.90	$107.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,538.00 / $2,538.00 / $2,538.00	Facility		$2,538.00	$2,538.00	$2,538.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $62.26 / $107.20	Professional		$40.39	$62.26	$107.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $40.46 / $54.06	Professional		$30.24	$40.46	$54.06
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 $38.61 / $51.85 / $99.30	Professional		$38.61	$51.85	$99.30