Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $49.82 / $139.13	Facility		$27.36	$49.82	$139.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $40.06 / $64.95	Professional		$27.36	$40.06	$64.95
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 $27.03 / $34.43 / $55.10	Professional		$27.03	$34.43	$55.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.51 / $41.85	Facility		$24.55	$31.51	$41.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $56.98 / $127,498.73	Professional		$44.77	$56.98	$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 $31.25 / $50.87 / $79.31	Professional		$31.25	$50.87	$79.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $47.58	Facility		$47.58	$47.58	$47.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $50.93 / $81.90	Professional		$31.51	$50.93	$81.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $71.67 / $101.43	Professional		$54.68	$71.67	$101.43
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 $36.39 / $55.87 / $84.80	Professional		$36.39	$55.87	$84.80