Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.41 / $1,866.00 / $9,516.00	Facility		$48.41	$1,866.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $99.58 / $214.64	Professional		$27.04	$99.58	$214.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,981.00 / $3,943.00	Facility		$814.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $36.64 / $62.18	Professional		$28.34	$36.64	$62.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $33.52 / $41.93	Facility		$26.40	$33.52	$41.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $112.09 / $142.66	Professional		$87.81	$112.09	$142.66
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 $33.92 / $103.67 / $210.52	Professional		$33.92	$103.67	$210.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $351.20 / $713.18	Facility		$51.00	$351.20	$713.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $106.99 / $212.76	Professional		$33.92	$106.99	$212.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $141.63 / $200.06	Professional		$108.45	$141.63	$200.06
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 $103.65 / $156.37 / $234.99	Professional		$103.65	$156.37	$234.99