Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.51 / $2,036.00 / $8,386.90	Facility		$126.51	$2,036.00	$8,386.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $129.62 / $248.82	Professional		$73.03	$129.62	$248.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $128.84 / $228.58	Professional		$74.52	$128.84	$228.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $99.26 / $117.95	Facility		$75.97	$99.26	$117.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $189.54 / $189.54	Professional		$137.71	$189.54	$189.54
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 $76.22 / $134.79 / $249.70	Professional		$76.22	$134.79	$249.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,159.85 / $1,685.84 / $2,140.69	Facility		$1,159.85	$1,685.84	$2,140.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $138.96 / $245.71	Professional		$81.26	$138.96	$245.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $185.37 / $257.50	Professional		$136.48	$185.37	$257.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $158.74 / $257.02	Professional		$121.64	$158.74	$257.02