Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $1,773.00 / $9,504.00	Facility		$99.28	$1,773.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $108.48 / $199.21	Professional		$58.47	$108.48	$199.21
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 $72.37 / $110.33 / $183.91	Professional		$72.37	$110.33	$183.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $85.15 / $85.15	Facility		$58.48	$85.15	$85.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $122.39 / $122.39	Professional		$97.91	$122.39	$122.39
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $117.67 / $206.31	Professional		$61.68	$117.67	$206.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $525.41 / $525.41 / $525.41	Facility		$525.41	$525.41	$525.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $119.00 / $202.38	Professional		$62.42	$119.00	$202.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
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 $98.52 / $128.28 / $208.01	Professional		$98.52	$128.28	$208.01