Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $308.69 / $11,581.00	Facility		$52.25	$308.69	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $86.21 / $163.10	Professional		$42.83	$86.21	$163.10
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 $37.52 / $50.99 / $93.32	Professional		$37.52	$50.99	$93.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $54.14 / $64.31	Facility		$43.31	$54.14	$64.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $111.85 / $194.16	Professional		$94.64	$111.85	$194.16
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 $51.98 / $98.90 / $192.72	Professional		$51.98	$98.90	$192.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $210.06 / $210.06 / $210.06	Facility		$210.06	$210.06	$210.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $104.97 / $187.01	Professional		$53.71	$104.97	$187.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $115.47 / $157.15	Professional		$85.34	$115.47	$157.15
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $118.00 / $197.70	Professional		$87.69	$118.00	$197.70