Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.32 / $1,948.00 / $9,504.00	Facility		$251.32	$1,948.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $240.43 / $396.11	Professional		$148.13	$240.43	$396.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $157.59 / $255.57	Professional		$100.17	$157.59	$255.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $148.97 / $216.92	Facility		$136.55	$148.97	$216.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.71 / $265.35 / $337.72	Professional		$196.71	$265.35	$337.72
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 $163.53 / $256.01 / $434.22	Professional		$163.53	$256.01	$434.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $261.94 / $261.94 / $261.94	Facility		$261.94	$261.94	$261.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $265.35 / $434.22	Professional		$173.80	$265.35	$434.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $220.27 / $338.67	Professional		$32.41	$220.27	$338.67
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 $169.39 / $279.29 / $462.44	Professional		$169.39	$279.29	$462.44