Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.65 / $2,113.00 / $10,268.00	Facility		$164.65	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.41 / $164.65 / $308.86	Professional		$125.41	$164.65	$308.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $107.63 / $183.88	Professional		$74.03	$107.63	$183.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.26 / $126.83 / $184.68	Facility		$116.26	$126.83	$184.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.85 / $176.65 / $224.83	Professional		$148.85	$176.65	$224.83
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 $145.47 / $202.93 / $309.55	Professional		$145.47	$202.93	$309.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.58 / $223.58 / $223.58	Facility		$223.58	$223.58	$223.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $205.55 / $309.55	Professional		$147.52	$205.55	$309.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $159.84 / $226.80	Professional		$120.45	$159.84	$226.80
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 $135.38 / $208.75 / $348.89	Professional		$135.38	$208.75	$348.89