Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.99 / $2,816.00 / $9,504.00	Facility		$142.99	$2,816.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $142.99 / $451.23	Professional		$57.78	$142.99	$451.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $135.51 / $220.69	Professional		$80.75	$135.51	$220.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $57.86 / $84.25	Facility		$53.04	$57.86	$84.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $153.81 / $195.76	Professional		$153.81	$153.81	$195.76
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 $73.18 / $188.77 / $355.00	Professional		$73.18	$188.77	$355.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $101.84 / $2,921.33	Facility		$101.84	$101.84	$2,921.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $188.77 / $343.96	Professional		$73.18	$188.77	$343.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.42 / $173.52 / $248.07	Professional		$131.42	$173.52	$248.07
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 $195.82 / $304.22 / $499.11	Professional		$195.82	$304.22	$499.11