Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $399.20 / $11,581.00	Facility		$101.03	$399.20	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $118.05 / $202.45	Professional		$67.94	$118.05	$202.45
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 $59.22 / $95.94 / $182.30	Professional		$59.22	$95.94	$182.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $126.42 / $126.42	Professional		$126.42	$126.42	$126.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $97.02 / $97.02	Facility		$66.62	$97.02	$97.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $123.07 / $123.07	Professional		$94.16	$123.07	$123.07
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 $71.67 / $121.34 / $203.62	Professional		$71.67	$121.34	$203.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $359.07 / $359.07 / $368.23	Facility		$359.07	$359.07	$368.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $123.93 / $203.62	Professional		$71.84	$123.93	$203.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $135.08 / $236.07	Professional		$102.50	$135.08	$236.07