Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.40 / $3,238.30 / $8,553.00	Facility		$203.40	$3,238.30	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $203.40 / $406.28	Professional		$92.36	$203.40	$406.28
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 $103.00 / $137.26 / $242.73	Professional		$103.00	$137.26	$242.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $91.56 / $133.31	Facility		$83.93	$91.56	$133.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.07 / $216.40 / $275.42	Professional		$165.07	$216.40	$275.42
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 $113.23 / $217.16 / $369.78	Professional		$113.23	$217.16	$369.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $161.41 / $3,059.95 / $5,587.56	Facility		$161.41	$3,059.95	$5,587.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $217.16 / $377.22	Professional		$113.23	$217.16	$377.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.42 / $244.92 / $349.85	Professional		$182.42	$244.92	$349.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.64 / $294.20 / $467.06	Professional		$197.64	$294.20	$467.06