Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $411.00 / $9,504.00	Facility		$99.90	$411.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $110.34 / $212.97	Professional		$77.45	$110.34	$212.97
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 $65.63 / $93.66 / $159.62	Professional		$65.63	$93.66	$159.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $89.21 / $118.49	Facility		$69.51	$89.21	$118.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $134.61 / $127,498.73	Professional		$105.77	$134.61	$127,498.73
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 $84.75 / $126.69 / $202.41	Professional		$84.75	$126.69	$202.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $288.07 / $434.34 / $1,442.88	Facility		$288.07	$434.34	$1,442.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $129.80 / $202.67	Professional		$86.98	$129.80	$202.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $88.90 / $132.19	Professional		$60.45	$88.90	$132.19
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 $85.74 / $132.04 / $207.48	Professional		$85.74	$132.04	$207.48