Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.75 / $1,015.01 / $8,553.00	Facility		$163.75	$1,015.01	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $174.75 / $303.94	Professional		$99.05	$174.75	$303.94
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 $106.45 / $167.16 / $279.66	Professional		$106.45	$167.16	$279.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $152.46 / $152.46	Facility		$104.70	$152.46	$152.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.09 / $185.20 / $185.20	Professional		$138.09	$185.20	$185.20
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 $112.91 / $184.92 / $314.27	Professional		$112.91	$184.92	$314.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.33 / $1,203.33 / $2,848.74	Facility		$180.33	$1,203.33	$2,848.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $187.39 / $308.24	Professional		$112.91	$187.39	$308.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $182.91 / $277.00	Professional		$119.79	$182.91	$277.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.29 / $210.11 / $346.04	Professional		$154.29	$210.11	$346.04