Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $2,113.00 / $10,268.00	Facility		$80.84	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $145.79 / $275.04	Professional		$42.32	$145.79	$275.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $50.40 / $89.98	Professional		$33.61	$50.40	$89.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $51.89 / $61.65	Facility		$42.34	$51.89	$61.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.51 / $231.26 / $360.77	Professional		$203.51	$231.26	$360.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $21,571.00	Facility		$74.98	$74.98	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $163.96 / $351.44	Professional		$47.73	$163.96	$351.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $74.98 / $199.14	Facility		$74.98	$74.98	$199.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $161.19 / $351.44	Professional		$49.73	$161.19	$351.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $215.62 / $304.21	Professional		$160.59	$215.62	$304.21
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $243.38 / $490.10	Professional		$162.91	$243.38	$490.10