Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.77 / $2,113.00 / $10,268.00	Facility		$108.77	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $108.77 / $170.60	Professional		$84.06	$108.77	$170.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $96.80 / $163.99	Professional		$69.95	$96.80	$163.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.48 / $89.17 / $110.36	Facility		$69.48	$89.17	$110.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.89 / $101.19 / $119.59	Professional		$92.89	$101.19	$119.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $79.69 / $600.00	Facility		$66.31	$79.69	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.95 / $125.67 / $234.60	Professional		$86.95	$125.67	$234.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $79.69 / $133.36	Facility		$50.00	$79.69	$133.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $128.79 / $229.73	Professional		$89.17	$128.79	$229.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $112.96 / $155.52	Professional		$85.01	$112.96	$155.52
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $139.74 / $245.81	Professional		$97.65	$139.74	$245.81