Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $38.92 / $144.65	Facility		$17.30	$38.92	$144.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $29.48 / $71.72	Professional		$17.30	$29.48	$71.72
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 $21.81 / $40.47 / $64.28	Professional		$21.81	$40.47	$64.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $32.72 / $60.72 / $96.42	Professional	50	$32.72	$60.72	$96.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $20.14 / $26.75	Facility		$15.69	$20.14	$26.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $37.93 / $127,498.73	Professional		$29.80	$37.93	$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 $20.14 / $36.58 / $75.97	Professional		$20.14	$36.58	$75.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $58.25 / $376.56	Facility		$30.54	$58.25	$376.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $35.90 / $78.62	Professional		$20.14	$35.90	$78.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $19.42 / $29.37	Professional		$16.51	$19.42	$29.37
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 $26.10 / $44.37 / $76.34	Professional		$26.10	$44.37	$76.34