Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.11 / $3,325.00 / $10,635.00	Facility		$188.11	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $126.50 / $254.12	Professional		$108.32	$126.50	$254.12
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 $99.68 / $155.56 / $259.43	Professional		$99.68	$155.56	$259.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.06 / $146.24 / $212.95	Facility		$134.06	$146.24	$212.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $157.72 / $200.73	Professional		$140.90	$157.72	$200.73
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 $133.66 / $184.24 / $254.63	Professional		$133.66	$184.24	$254.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $170.37	Facility		$170.37	$170.37	$170.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $185.96 / $257.80	Professional		$140.52	$185.96	$257.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.61 / $161.53 / $229.41	Professional		$118.61	$161.53	$229.41
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 $108.56 / $159.86 / $262.33	Professional		$108.56	$159.86	$262.33