Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $85.90 / $266.89	Facility		$42.31	$85.90	$266.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $74.15 / $128.61	Professional		$39.82	$74.15	$128.61
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 $35.63 / $47.97 / $78.39	Professional		$35.63	$47.97	$78.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $42.58 / $62.00	Facility		$39.03	$42.58	$62.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.21 / $90.65 / $115.37	Professional		$61.21	$90.65	$115.37
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 $48.85 / $86.53 / $145.79	Professional		$48.85	$86.53	$145.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Facility		$74.72	$74.72	$74.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $90.47 / $146.80	Professional		$50.09	$90.47	$146.80
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 $64.42 / $97.57 / $163.44	Professional		$64.42	$97.57	$163.44