Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $58.08 / $166.89	Facility		$31.01	$58.08	$166.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $46.55 / $77.37	Professional		$30.49	$46.55	$77.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $38.67 / $67.58	Professional		$26.61	$38.67	$67.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.56 / $30.06 / $43.78	Facility		$27.56	$30.06	$43.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $56.73 / $72.20	Professional		$55.03	$56.73	$72.20
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 $35.06 / $58.30 / $93.90	Professional		$35.06	$58.30	$93.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $53.23 / $53.23 / $53.23	Facility		$53.23	$53.23	$53.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $59.30 / $95.39	Professional		$35.36	$59.30	$95.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.09 / $101.43	Professional		$52.98	$71.09	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $61.33 / $95.68	Professional		$35.89	$61.33	$95.68