Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.67 / $146.44 / $392.80	Facility		$79.67	$146.44	$392.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $111.37 / $192.59	Professional		$75.79	$111.37	$192.59
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 $67.50 / $88.53 / $144.26	Professional		$67.50	$88.53	$144.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.25 / $94.01 / $124.86	Facility		$73.25	$94.01	$124.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.28 / $164.54 / $127,498.73	Professional		$129.28	$164.54	$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 $93.22 / $139.47 / $212.86	Professional		$93.22	$139.47	$212.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $140.37 / $140.37	Facility		$140.37	$140.37	$140.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $141.03 / $212.86	Professional		$93.27	$141.03	$212.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.30 / $150.61	Professional		$81.79	$106.30	$150.61
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 $94.19 / $144.84 / $237.77	Professional		$94.19	$144.84	$237.77