Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.82 / $287.85 / $10,268.00	Facility		$91.82	$287.85	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $91.82 / $171.24	Professional		$75.42	$91.82	$171.24
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 $57.43 / $84.62 / $146.75	Professional		$57.43	$84.62	$146.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $84.07 / $104.05	Facility		$70.06	$84.07	$104.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $94.25 / $94.25	Professional		$72.63	$94.25	$94.25
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 $77.81 / $110.59 / $180.00	Professional		$77.81	$110.59	$180.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.37 / $324.11 / $877.05	Facility		$88.37	$324.11	$877.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $113.51 / $183.36	Professional		$80.56	$113.51	$183.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $78.33 / $105.09	Professional		$57.79	$78.33	$105.09
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 $81.23 / $110.71 / $181.04	Professional		$81.23	$110.71	$181.04