Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.17 / $2,113.00 / $10,268.00	Facility		$240.17	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $238.50 / $412.29	Professional		$154.11	$238.50	$412.29
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 $120.69 / $181.03 / $312.39	Professional		$120.69	$181.03	$312.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $183.20 / $243.32	Facility		$142.75	$183.20	$243.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.49 / $323.89 / $127,498.73	Professional		$254.49	$323.89	$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 $180.00 / $274.81 / $435.27	Professional		$180.00	$274.81	$435.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $273.77 / $273.77 / $273.77	Facility		$273.77	$273.77	$273.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.68 / $277.62 / $437.77	Professional		$181.68	$277.62	$437.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $194.72 / $304.60	Professional		$30.67	$194.72	$304.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $3,923.00	Facility		$1,020.00	$1,952.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $298.55 / $500.31	Professional		$195.43	$298.55	$500.31