Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $2,989.00 / $11,581.00	Facility		$951.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $89.87 / $175.86	Professional		$61.84	$89.87	$175.86
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 $89.05 / $1,224.39 / $2,946.38	Facility		$89.05	$1,224.39	$2,946.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.18 / $1,502.65 / $2,651.75	Professional		$100.18	$1,502.65	$2,651.75
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 $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.22 / $147.22 / $436.55	Professional		$147.22	$147.22	$436.55
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 $68.23 / $112.15 / $171.03	Professional		$68.23	$112.15	$171.03