Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.27 / $2,547.00 / $10,635.00	Facility		$171.27	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $110.62 / $171.94	Professional		$96.38	$110.62	$171.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $116.16 / $186.25	Professional		$92.17	$116.16	$186.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $109.10 / $135.04	Facility		$85.01	$109.10	$135.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $113.65 / $122.98	Professional		$100.01	$113.65	$122.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $530.00 / $21,571.00	Facility		$110.57	$530.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $140.93 / $211.94	Professional		$97.10	$140.93	$211.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $530.00 / $577.00	Facility		$110.57	$530.00	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $140.93 / $205.04	Professional		$100.01	$140.93	$205.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $108.28 / $155.20	Professional		$82.26	$108.28	$155.20
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $975.00 / $3,218.00	Facility		$214.00	$975.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $126.89 / $211.48	Professional		$89.79	$126.89	$211.48