Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $4,723.00 / $11,627.00	Facility		$38.21	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $38.60 / $68.91	Professional		$35.63	$38.60	$68.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $45.60 / $250.09	Professional		$30.44	$45.60	$250.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $45.01 / $53.48	Facility		$36.72	$45.01	$53.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $39.61 / $49.63	Professional		$39.61	$39.61	$49.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $21,571.00	Facility		$43.55	$43.55	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $52.26 / $112.76	Professional		$37.24	$52.26	$112.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $43.55 / $44.86	Facility		$43.55	$43.55	$44.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $53.87 / $94.96	Professional		$37.40	$53.87	$94.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $40.30 / $53.95	Professional		$30.24	$40.30	$53.95
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 $37.90 / $50.57 / $225.94	Professional		$37.90	$50.57	$225.94