Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.25 / $1,902.00 / $9,504.00	Facility		$103.25	$1,902.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $126.79 / $237.28	Professional		$60.74	$126.79	$237.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $122.89 / $222.46	Professional		$58.00	$122.89	$222.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $78.25 / $122.27	Facility		$65.20	$78.25	$122.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $147.26 / $261.05	Professional		$147.26	$147.26	$261.05
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 $76.29 / $147.26 / $263.64	Professional		$76.29	$147.26	$263.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,044.93 / $4,044.93 / $4,044.93	Facility		$4,044.93	$4,044.93	$4,044.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $153.94 / $270.10	Professional		$80.86	$153.94	$270.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $153.74 / $209.77	Professional		$112.90	$153.74	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.40 / $188.20 / $305.64	Professional		$123.40	$188.20	$305.64