Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.14 / $87.35 / $365.98	Facility		$31.14	$87.35	$365.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $78.79 / $145.04	Professional		$31.14	$78.79	$145.04
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 $29.75 / $38.67 / $66.28	Professional		$29.75	$38.67	$66.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.45 / $33.22 / $48.36	Facility		$30.45	$33.22	$48.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $91.25 / $116.13	Professional		$68.20	$91.25	$116.13
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 $39.07 / $89.26 / $190.78	Professional		$39.07	$89.26	$190.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $58.82 / $58.82	Facility		$58.82	$58.82	$58.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $91.24 / $183.03	Professional		$39.07	$91.24	$183.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.30 / $150.61	Professional		$81.79	$106.30	$150.61
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 $81.77 / $129.63 / $211.39	Professional		$81.77	$129.63	$211.39