Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $8,956.00 / $11,627.00	Facility		$202.54	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $202.18 / $225.14	Professional		$91.63	$202.18	$225.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,981.00 / $3,943.00	Facility		$814.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $183.00 / $278.43	Professional		$138.88	$183.00	$278.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.69 / $2,951.25 / $11,374.89	Facility		$200.69	$2,951.25	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $3,386.56 / $5,976.29	Professional		$225.77	$3,386.56	$5,976.29
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $236.22 / $236.22 / $236.22	Facility		$236.22	$236.22	$236.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $331.78 / $331.78 / $983.81	Professional		$331.78	$331.78	$983.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $260.50 / $400.60	Professional		$157.44	$260.50	$400.60