Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $4,723.00 / $11,627.00	Facility		$81.62	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $81.62 / $152.12	Professional		$75.23	$81.62	$152.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,175.00 / $14,996.00	Facility		$919.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $97.66 / $159.09	Professional		$74.45	$97.66	$159.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.26 / $116.37 / $116.37	Facility		$73.26	$116.37	$116.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $86.19 / $101.86	Professional		$67.95	$86.19	$101.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $530.00 / $1,200.00	Facility		$93.41	$530.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $113.60 / $171.99	Professional		$83.19	$113.60	$171.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $530.00 / $1,200.00	Facility		$93.41	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $116.93 / $168.72	Professional		$85.11	$116.93	$168.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $116.32 / $156.91	Professional		$86.55	$116.32	$156.91
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $105.77 / $187.50	Professional		$73.93	$105.77	$187.50