Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $8,956.00 / $11,627.00	Facility		$101.75	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $100.49 / $112.37	Professional		$53.29	$100.49	$112.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $181.70 / $278.43	Professional		$138.88	$181.70	$278.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $1,390.44 / $3,345.98	Facility		$101.12	$1,390.44	$3,345.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $1,706.45 / $3,011.39	Professional		$113.76	$1,706.45	$3,011.39
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 $118.68 / $118.68 / $118.68	Facility		$118.68	$118.68	$118.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $166.68 / $495.79	Professional		$166.68	$166.68	$495.79
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 $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $123.33 / $191.48	Professional		$82.86	$123.33	$191.48