Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.77 / $180.38 / $507.85	Facility		$99.77	$180.38	$507.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $146.46 / $272.20	Professional		$95.58	$146.46	$272.20
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 $82.81 / $111.09 / $179.17	Professional		$82.81	$111.09	$179.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.43 / $117.35 / $155.85	Facility		$91.43	$117.35	$155.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.81 / $216.12 / $127,498.73	Professional		$169.81	$216.12	$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 $115.72 / $177.52 / $277.86	Professional		$115.72	$177.52	$277.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $174.98 / $174.98 / $174.98	Facility		$174.98	$174.98	$174.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.35 / $180.61 / $277.86	Professional		$117.35	$180.61	$277.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $142.11 / $200.06	Professional		$108.45	$142.11	$200.06
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 $123.53 / $185.45 / $313.83	Professional		$123.53	$185.45	$313.83