Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $90.47 / $312.00	Facility		$40.08	$90.47	$312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $40.08 / $95.83	Professional		$40.08	$40.08	$95.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,398.00 / $2,170.00	Facility		$937.00	$1,398.00	$2,170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $65.00 / $108.25	Professional		$45.57	$65.00	$108.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $57.40 / $71.04	Facility		$47.70	$57.40	$71.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $52.61 / $63.04	Professional		$52.61	$52.61	$63.04
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 $50.22 / $73.65 / $100.64	Professional		$50.22	$73.65	$100.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.89 / $153.50 / $481.99	Facility		$88.89	$153.50	$481.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $74.64 / $101.14	Professional		$52.61	$74.64	$101.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.02 / $54.11	Professional		$32.34	$41.02	$54.11
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,017.00 / $3,398.00	Facility		$480.00	$1,017.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $64.56 / $110.11	Professional		$47.77	$64.56	$110.11