Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $58.03 / $686.28	Facility		$11.03	$58.03	$686.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $25.57 / $55.13	Professional		$10.02	$25.57	$55.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $20.86 / $40.88	Professional		$8.15	$20.86	$40.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $10.69 / $12.70	Facility		$8.55	$10.69	$12.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $36.40 / $62.69	Professional		$30.80	$36.40	$62.69
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 $9.84 / $26.31 / $49.52	Professional		$9.84	$26.31	$49.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $76.37 / $209.63 / $385.18	Facility		$76.37	$209.63	$385.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $27.82 / $50.81	Professional		$10.26	$27.82	$50.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $36.09 / $39.28	Professional		$34.34	$36.09	$39.28
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 $26.05 / $34.21 / $54.15	Professional		$26.05	$34.21	$54.15