Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $2,849.00 / $10,268.00	Facility		$162.18	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $162.18 / $296.36	Professional		$93.34	$162.18	$296.36
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 $100.62 / $131.40 / $230.49	Professional		$100.62	$131.40	$230.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.33 / $93.08 / $135.54	Facility		$85.33	$93.08	$135.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.02 / $172.02 / $218.93	Professional		$172.02	$172.02	$218.93
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 $117.72 / $222.49 / $405.62	Professional		$117.72	$222.49	$405.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $165.31 / $165.31 / $165.31	Facility		$165.31	$165.31	$165.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $218.93 / $406.04	Professional		$117.72	$218.93	$406.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $177.90 / $252.76	Professional		$136.48	$177.90	$252.76
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 $208.66 / $319.97 / $511.67	Professional		$208.66	$319.97	$511.67