Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $229.35 / $11,627.00	Facility		$71.40	$229.35	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $77.65 / $133.16	Professional		$64.18	$77.65	$133.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $79.87 / $159.38	Professional		$59.32	$79.87	$159.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.46 / $96.68 / $118.29	Facility		$41.46	$96.68	$118.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $89.46 / $139.56	Professional		$67.03	$89.46	$139.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $34.04 / $21,571.00	Facility		$30.54	$34.04	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $90.84 / $190.56	Professional		$61.37	$90.84	$190.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $34.04	Facility		$30.54	$30.54	$34.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $93.12 / $161.80	Professional		$61.55	$93.12	$161.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $76.13 / $102.79	Professional		$56.31	$76.13	$102.79
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $87.44 / $169.84	Professional		$63.50	$87.44	$169.84