Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $151.55 / $452.00	Facility		$59.48	$151.55	$452.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $61.89 / $109.92	Professional		$40.00	$61.89	$109.92
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 $36.90 / $60.78 / $111.70	Professional		$36.90	$60.78	$111.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $64.64 / $64.64	Facility		$44.39	$64.64	$64.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $81.92 / $81.92	Professional		$55.18	$81.92	$81.92
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 $42.47 / $73.84 / $127.67	Professional		$42.47	$73.84	$127.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $319.52 / $319.52 / $319.52	Facility		$319.52	$319.52	$319.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $78.19 / $127.14	Professional		$45.70	$78.19	$127.14
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 $54.66 / $76.29 / $138.09	Professional		$54.66	$76.29	$138.09