Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.50 / $134.88 / $344.66	Facility		$74.50	$134.88	$344.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $94.58 / $160.12	Professional		$69.14	$94.58	$160.12
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 $60.86 / $80.27 / $131.69	Professional		$60.86	$80.27	$131.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $87.58 / $116.31	Facility		$68.23	$87.58	$116.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $142.60 / $127,498.73	Professional		$112.05	$142.60	$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 $86.25 / $122.26 / $184.89	Professional		$86.25	$122.26	$184.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $130.86 / $130.86 / $130.86	Facility		$130.86	$130.86	$130.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $123.16 / $190.05	Professional		$87.18	$123.16	$190.05
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 $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $125.49 / $211.49	Professional		$80.92	$125.49	$211.49