Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $388.00 / $1,613.50	Facility		$78.83	$388.00	$1,613.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $107.66 / $186.08	Professional		$89.26	$107.66	$186.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.00 / $1,073.00 / $2,137.00	Facility		$276.00	$1,073.00	$2,137.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $71.97 / $87.21	Professional		$0.02	$71.97	$87.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $282.54 / $72,899.27	Facility		$19.96	$282.54	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $86.45 / $209.25	Professional		$21.53	$86.45	$209.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $123.40 / $1,300.00	Facility		$97.68	$123.40	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $133.43 / $298.64	Professional		$93.39	$133.43	$298.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $350.00 / $1,300.00	Facility		$97.68	$350.00	$1,300.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.99 / $128.38 / $256.35	Professional		$95.99	$128.38	$256.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $116.24 / $281.82	Professional		$44.91	$116.24	$281.82