Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $313.39 / $11,627.00	Facility		$74.09	$313.39	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $86.13 / $161.66	Professional		$62.02	$86.13	$161.66
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 $46.34 / $65.40 / $108.79	Professional		$46.34	$65.40	$108.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $67.66 / $98.52	Facility		$62.02	$67.66	$98.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $105.06 / $224.91	Professional		$105.06	$105.06	$224.91
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 $76.28 / $111.35 / $174.63	Professional		$76.28	$111.35	$174.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $118.61 / $118.61	Facility		$118.61	$118.61	$118.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.94 / $112.32 / $174.63	Professional		$78.94	$112.32	$174.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.33 / $150.72	Professional		$81.79	$106.33	$150.72
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 $74.22 / $114.61 / $192.44	Professional		$74.22	$114.61	$192.44