Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $1,839.00 / $9,504.00	Facility		$115.37	$1,839.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $104.88 / $206.84	Professional		$63.65	$104.88	$206.84
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 $64.56 / $93.94 / $167.80	Professional		$64.56	$93.94	$167.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $136.22 / $136.22	Facility		$93.55	$136.22	$136.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $124.88 / $124.88	Professional		$87.56	$124.88	$124.88
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 $87.43 / $124.88 / $212.89	Professional		$87.43	$124.88	$212.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $572.91 / $572.91 / $1,010.75	Facility		$572.91	$572.91	$1,010.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $134.13 / $203.68	Professional		$93.26	$134.13	$203.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $114.31 / $156.16	Professional		$82.26	$114.31	$156.16
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $1,009.00 / $3,398.00	Facility		$467.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $127.40 / $212.90	Professional		$88.49	$127.40	$212.90