Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.89 / $2,547.00 / $10,268.00	Facility		$100.89	$2,547.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $54.96 / $81.67	Professional		$50.73	$54.96	$81.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $93.98 / $147.65	Professional		$69.15	$93.98	$147.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $69.84 / $12,970.10	Facility		$51.74	$69.84	$12,970.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $56.91 / $69.48	Professional		$56.91	$56.91	$69.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $581.00 / $1,337.58	Facility		$62.14	$581.00	$1,337.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $75.06 / $149.99	Professional		$54.06	$75.06	$149.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $581.00 / $996.44	Facility		$366.00	$581.00	$996.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $78.15 / $153.02	Professional		$55.26	$78.15	$153.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.95 / $64.78 / $112.83	Professional		$46.95	$64.78	$112.83