Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.56 / $505.68 / $9,534.00	Facility		$117.56	$505.68	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $117.56 / $217.48	Professional		$88.95	$117.56	$217.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $105.22 / $184.50	Professional		$53.20	$105.22	$184.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $99.31 / $122.92	Facility		$82.76	$99.31	$122.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $119.24 / $119.24	Professional		$114.89	$119.24	$119.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $135.50 / $220.03	Professional		$91.04	$135.50	$220.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $218.35 / $258.51 / $371.62	Facility		$218.35	$258.51	$371.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $142.63 / $222.33	Professional		$95.17	$142.63	$222.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $115.47 / $157.15	Professional		$86.01	$115.47	$157.15
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $137.28 / $228.40	Professional		$99.71	$137.28	$228.40