Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.10 / $819.82 / $4,642.34	Facility		$166.10	$819.82	$4,642.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.55 / $359.75	Professional		$90.04	$159.55	$359.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $128.04 / $287.48	Professional		$69.65	$128.04	$287.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $146.00 / $146.00	Facility		$100.27	$146.00	$146.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $243.63 / $243.63	Professional		$189.11	$243.63	$243.63
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $202.15 / $348.89	Professional		$101.06	$202.15	$348.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $604.45 / $1,000.82 / $2,165.91	Facility		$604.45	$1,000.82	$2,165.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $207.08 / $358.17	Professional		$103.22	$207.08	$358.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $197.96 / $319.96	Professional		$31.85	$197.96	$319.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $216.18 / $354.31	Professional		$146.93	$216.18	$354.31