Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.07 / $2,646.00 / $9,516.00	Facility		$135.07	$2,646.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $135.07 / $252.36	Professional		$96.86	$135.07	$252.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $137.00 / $231.36	Professional		$89.68	$137.00	$231.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $155.32 / $155.32	Facility		$106.67	$155.32	$155.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $159.12 / $159.12	Professional		$141.44	$159.12	$159.12
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 $109.80 / $166.46 / $260.07	Professional		$109.80	$166.46	$260.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $135.15 / $254.32 / $7,133.96	Facility		$135.15	$254.32	$7,133.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $110.58 / $171.99 / $253.14	Professional		$110.58	$171.99	$253.14
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 $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $162.84 / $307.11	Professional		$116.69	$162.84	$307.11