Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $32.17 / $96.36	Facility		$17.30	$32.17	$96.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $31.67 / $52.46	Professional		$17.30	$31.67	$52.46
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 $22.24 / $33.97 / $56.42	Professional		$22.24	$33.97	$56.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $33.36 / $50.97 / $84.63	Professional	50	$33.36	$50.97	$84.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $20.53 / $27.27	Facility		$15.99	$20.53	$27.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $37.97 / $127,498.73	Professional		$29.84	$37.97	$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 $20.54 / $36.61 / $71.22	Professional		$20.54	$36.61	$71.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $80.63 / $156.44	Facility		$31.08	$80.63	$156.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $35.60 / $73.80	Professional		$20.54	$35.60	$73.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.84 / $28.69	Professional		$16.86	$19.84	$28.69
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 $24.97 / $42.36 / $71.54	Professional		$24.97	$42.36	$71.54