Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.29 / $2,532.00 / $9,516.00	Facility		$206.29	$2,532.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.94 / $189.03 / $350.69	Professional		$142.94	$189.03	$350.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,150.00 / $3,943.00	Facility		$1,051.00	$2,150.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $135.82 / $250.25	Professional		$85.10	$135.82	$250.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $192.50 / $255.68	Facility		$150.00	$192.50	$255.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $283.58 / $127,498.73	Professional		$222.82	$283.58	$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 $166.98 / $241.84 / $354.48	Professional		$166.98	$241.84	$354.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $286.14 / $286.14 / $286.14	Facility		$286.14	$286.14	$286.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $169.25 / $245.01 / $356.12	Professional		$169.25	$245.01	$356.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $157.11 / $272.14	Professional		$32.53	$157.11	$272.14
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $235.53 / $388.17	Professional		$153.22	$235.53	$388.17