Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.47 / $1,883.00 / $9,516.00	Facility		$188.47	$1,883.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $188.47 / $322.04	Professional		$113.14	$188.47	$322.04
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 $118.65 / $192.56 / $343.32	Professional		$118.65	$192.56	$343.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.75 / $182.75 / $182.75	Facility		$182.75	$182.75	$182.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $221.56 / $221.56	Professional		$203.95	$221.56	$221.56
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 $120.58 / $207.65 / $369.66	Professional		$120.58	$207.65	$369.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $525.29 / $525.29 / $525.29	Facility		$525.29	$525.29	$525.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $214.47 / $369.66	Professional		$129.19	$214.47	$369.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $220.47 / $311.05	Professional		$163.59	$220.47	$311.05
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 $166.67 / $229.50 / $371.47	Professional		$166.67	$229.50	$371.47