Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.38 / $2,113.00 / $9,534.00	Facility		$72.38	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $72.38 / $112.11	Professional		$56.46	$72.38	$112.11
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 $41.82 / $69.95 / $116.67	Professional		$41.82	$69.95	$116.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $67.23 / $83.21	Facility		$55.28	$67.23	$83.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $75.89 / $89.69	Professional		$70.04	$75.89	$89.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $366.00 / $600.00	Facility		$61.04	$366.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $88.98 / $158.69	Professional		$58.83	$88.98	$158.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $366.00 / $581.00	Facility		$61.04	$366.00	$581.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $89.93 / $158.62	Professional		$63.75	$89.93	$158.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $76.53 / $103.54	Professional		$57.13	$76.53	$103.54
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 $66.00 / $93.14 / $156.62	Professional		$66.00	$93.14	$156.62