Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.47 / $1,190.00 / $8,956.00	Facility		$63.47	$1,190.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $76.84 / $133.94	Professional		$36.32	$76.84	$133.94
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 $32.08 / $42.35 / $71.08	Professional		$32.08	$42.35	$71.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $45.64 / $57.09	Facility		$35.94	$45.64	$57.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $87.99 / $111.99	Professional		$81.17	$87.99	$111.99
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 $45.33 / $83.29 / $149.63	Professional		$45.33	$83.29	$149.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $417.04 / $993.31	Facility		$69.06	$417.04	$993.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $84.92 / $151.97	Professional		$45.74	$84.92	$151.97
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 $48.33 / $88.22 / $143.88	Professional		$48.33	$88.22	$143.88