Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $2,113.00 / $10,268.00	Facility		$111.00	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.91 / $138.49 / $211.02	Professional		$59.91	$138.49	$211.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $115.00 / $238.86	Professional		$53.82	$115.00	$238.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $72.50 / $86.15	Facility		$59.16	$72.50	$86.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $150.66 / $171.21	Professional		$117.00	$150.66	$171.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $21,571.00	Facility		$104.94	$104.94	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $132.00 / $280.79	Professional		$66.06	$132.00	$280.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.94 / $104.94 / $165.89	Facility		$104.94	$104.94	$165.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $129.91 / $256.69	Professional		$66.09	$129.91	$256.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $145.95 / $203.88	Professional		$109.97	$145.95	$203.88
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $184.51 / $388.26	Professional		$99.60	$184.51	$388.26