Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $924.00 / $1,992.00	Facility		$162.66	$924.00	$1,992.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $190.55 / $546.25	Professional		$96.73	$190.55	$546.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,565.00 / $2,898.00	Facility		$513.00	$1,565.00	$2,898.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.07 / $277.61	Professional		$0.02	$0.07	$277.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $101.99 / $15,808.48	Facility		$20.52	$101.99	$15,808.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $75.54 / $153.57	Professional		$19.23	$75.54	$153.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.05 / $107.74 / $700.00	Facility		$85.05	$107.74	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $116.60 / $277.87	Professional		$81.53	$116.60	$277.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $351.96 / $999.40	Facility		$60.57	$351.96	$999.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $112.48 / $268.68	Professional		$83.97	$112.48	$268.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $64.79 / $147.24	Professional		$18.78	$64.79	$147.24