Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $63.49 / $201.86	Facility		$32.11	$63.49	$201.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $56.49 / $105.58	Professional		$30.91	$56.49	$105.58
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 $27.98 / $36.74 / $64.68	Professional		$27.98	$36.74	$64.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $73.52 / $73.52	Professional		$73.52	$73.52	$73.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $32.14 / $46.78	Facility		$29.46	$32.14	$46.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $67.40 / $85.78	Professional		$48.62	$67.40	$85.78
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 $37.36 / $65.09 / $110.28	Professional		$37.36	$65.09	$110.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $56.58 / $70.06	Facility		$56.58	$56.58	$70.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $66.81 / $110.28	Professional		$37.79	$66.81	$110.28
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 $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $77.09 / $120.46	Professional		$49.01	$77.09	$120.46