Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $2,532.00 / $9,516.00	Facility		$39.22	$2,532.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $43.71 / $92.80	Professional		$30.58	$43.71	$92.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $42.81 / $79.36	Professional		$29.93	$42.81	$79.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $38.71 / $63.88	Facility		$30.16	$38.71	$63.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $45.86 / $58.37	Professional		$45.86	$45.86	$58.37
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 $38.33 / $53.97 / $89.22	Professional		$38.33	$53.97	$89.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $770.30 / $900.54	Facility		$58.29	$770.30	$900.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $53.78 / $92.42	Professional		$38.39	$53.78	$92.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.09 / $101.43	Professional		$52.98	$71.09	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $61.89 / $92.70	Professional		$38.64	$61.89	$92.70