Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $2,547.00 / $10,635.00	Facility		$281.01	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.29 / $188.98 / $361.01	Professional		$161.29	$188.98	$361.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.38 / $197.78 / $329.59	Professional		$136.38	$197.78	$329.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.83 / $221.82 / $294.60	Facility		$172.83	$221.82	$294.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.34 / $258.79 / $127,498.73	Professional		$203.34	$258.79	$127,498.73
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 $185.12 / $251.56 / $355.28	Professional		$185.12	$251.56	$355.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $225.06 / $225.06 / $225.06	Facility		$225.06	$225.06	$225.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $258.80 / $355.28	Professional		$194.10	$258.80	$355.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $155.54 / $245.56	Professional		$32.41	$155.54	$245.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $222.14 / $368.76	Professional		$145.88	$222.14	$368.76