Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $1,773.00 / $9,504.00	Facility		$48.73	$1,773.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $93.94 / $175.76	Professional		$28.67	$93.94	$175.76
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 $25.21 / $56.66 / $131.34	Professional		$25.21	$56.66	$131.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.87 / $33.44 / $41.40	Facility		$27.87	$33.44	$41.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $98.73 / $104.91	Professional		$98.73	$98.73	$104.91
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 $33.44 / $91.66 / $203.91	Professional		$33.44	$91.66	$203.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $58.96 / $1,002.55	Facility		$58.96	$58.96	$1,002.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $96.87 / $203.91	Professional		$34.83	$96.87	$203.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $114.92 / $159.79	Professional		$83.65	$114.92	$159.79
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 $87.12 / $121.57 / $209.50	Professional		$87.12	$121.57	$209.50