Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $1,866.00 / $9,504.00	Facility		$22.86	$1,866.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $22.86 / $43.93	Professional		$18.22	$22.86	$43.93
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 $18.10 / $26.29 / $45.52	Professional		$18.10	$26.29	$45.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $23.21 / $28.73	Facility		$19.34	$23.21	$28.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $29.40	Professional		$26.79	$26.79	$29.40
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 $23.06 / $33.40 / $53.14	Professional		$23.06	$33.40	$53.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,036.67 / $1,036.67 / $1,036.67	Facility		$1,036.67	$1,036.67	$1,036.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $34.09 / $52.74	Professional		$23.21	$34.09	$52.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $17.83 / $22.81	Professional		$15.15	$17.83	$22.81
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $33.78 / $55.37	Professional		$22.52	$33.78	$55.37