Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.12 / $2,113.00 / $10,268.00	Facility		$89.12	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $113.60 / $163.96	Professional		$49.54	$113.60	$163.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $105.67 / $278.32	Professional		$41.99	$105.67	$278.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $70.25 / $75.38	Facility		$48.24	$70.25	$75.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $140.88 / $219.78	Professional		$123.98	$140.88	$219.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $21,571.00	Facility		$85.08	$85.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $107.68 / $246.99	Professional		$52.02	$107.68	$246.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $85.08 / $122.75	Facility		$85.08	$85.08	$122.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $105.94 / $233.61	Professional		$52.18	$105.94	$233.61
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 $112.85 / $166.58 / $357.75	Professional		$112.85	$166.58	$357.75