Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $34.65 / $97.53	Facility		$19.55	$34.65	$97.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $30.82 / $51.46	Professional		$19.55	$30.82	$51.46
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 $23.33 / $30.93 / $55.98	Professional		$23.33	$30.93	$55.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $22.40 / $29.76	Facility		$17.46	$22.40	$29.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $38.94 / $127,498.73	Professional		$30.26	$38.94	$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 $22.67 / $38.51 / $80.48	Professional		$22.67	$38.51	$80.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $33.75	Facility		$33.75	$33.75	$33.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $36.89 / $71.64	Professional		$22.40	$36.89	$71.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $18.87 / $30.21	Professional		$16.04	$18.87	$30.21
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $41.66 / $68.79	Professional		$25.41	$41.66	$68.79