Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.78 / $1,773.00 / $9,504.00	Facility		$74.78	$1,773.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $72.83 / $135.49	Professional		$58.44	$72.83	$135.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $78.63 / $128.21	Professional		$56.92	$78.63	$128.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $65.05 / $80.52	Facility		$54.21	$65.05	$80.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $72.27 / $73.55	Professional		$72.27	$72.27	$73.55
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 $63.00 / $87.76 / $147.00	Professional		$63.00	$87.76	$147.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $305.10 / $305.10 / $305.10	Facility		$305.10	$305.10	$305.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.99 / $152.37	Professional		$65.05	$89.99	$152.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $78.80 / $105.09	Professional		$58.87	$78.80	$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 $65.98 / $89.33 / $144.53	Professional		$65.98	$89.33	$144.53