Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $2,113.00 / $10,268.00	Facility		$108.08	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $104.04 / $168.61	Professional		$77.81	$104.04	$168.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $101.40 / $172.82	Professional		$70.98	$101.40	$172.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.02 / $94.39 / $112.15	Facility		$77.02	$94.39	$112.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $109.64 / $124.59	Professional		$98.86	$109.64	$124.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.19 / $135.94 / $21,571.00	Facility		$113.19	$135.94	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $120.81 / $211.42	Professional		$82.80	$120.81	$211.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $113.19 / $113.19 / $135.94	Facility		$113.19	$113.19	$135.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $121.60 / $200.15	Professional		$82.96	$121.60	$200.15
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 $87.99 / $123.65 / $230.59	Professional		$87.99	$123.65	$230.59