Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $2,292.00 / $9,516.00	Facility		$114.92	$2,292.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $102.16 / $165.76	Professional		$68.70	$102.16	$165.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $91.80 / $182.59	Professional		$56.10	$91.80	$182.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $82.54 / $98.07	Facility		$67.36	$82.54	$98.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $118.66 / $134.84	Professional		$87.56	$118.66	$134.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $118.90 / $21,571.00	Facility		$115.01	$118.90	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.54 / $118.66 / $228.93	Professional		$72.54	$118.66	$228.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $115.01 / $118.90	Facility		$115.01	$115.01	$118.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $118.66 / $214.60	Professional		$72.63	$118.66	$214.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $110.13 / $153.71	Professional		$83.29	$110.13	$153.71
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 $100.42 / $144.34 / $316.27	Professional		$100.42	$144.34	$316.27