Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $92.69 / $264.52	Facility		$48.26	$92.69	$264.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $85.69 / $150.61	Professional		$48.26	$85.69	$150.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $64.54 / $128.03	Professional		$29.65	$64.54	$128.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $55.48 / $68.66	Facility		$46.23	$55.48	$68.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $87.81 / $87.81	Professional		$66.95	$87.81	$87.81
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 $52.91 / $93.40 / $174.92	Professional		$52.91	$93.40	$174.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $529.50 / $529.50 / $529.50	Facility		$529.50	$529.50	$529.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $97.39 / $170.83	Professional		$56.16	$97.39	$170.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $115.47 / $157.15	Professional		$85.34	$115.47	$157.15
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $99.66 / $177.10	Professional		$70.81	$99.66	$177.10