Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.57 / $2,113.00 / $10,268.00	Facility		$85.57	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $85.57 / $189.76	Professional		$70.02	$85.57	$189.76
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 $62.10 / $82.50 / $158.88	Professional		$62.10	$82.50	$158.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $105.96 / $129.63	Facility		$51.62	$105.96	$129.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $97.84 / $152.63	Professional		$73.45	$97.84	$152.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $42.41 / $21,571.00	Facility		$38.03	$42.41	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $100.69 / $214.36	Professional		$68.59	$100.69	$214.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $38.03 / $42.41	Facility		$38.03	$38.03	$42.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $102.05 / $163.83	Professional		$69.41	$102.05	$163.83
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 $70.39 / $90.01 / $178.10	Professional		$70.39	$90.01	$178.10