Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $1,252.50 / $8,956.00	Facility		$42.20	$1,252.50	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $42.20 / $75.67	Professional		$28.38	$42.20	$75.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $40.57 / $69.37	Professional		$28.20	$40.57	$69.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $32.69 / $40.46	Facility		$27.24	$32.69	$40.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $38.72 / $38.72	Professional		$37.82	$38.72	$38.72
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 $32.69 / $46.19 / $75.44	Professional		$32.69	$46.19	$75.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $288.66 / $288.66 / $288.66	Facility		$288.66	$288.66	$288.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $48.85 / $76.00	Professional		$32.96	$48.85	$76.00
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 $34.17 / $47.01 / $80.70	Professional		$34.17	$47.01	$80.70