Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $2,113.00 / $10,268.00	Facility		$111.63	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $134.53 / $265.02	Professional		$67.09	$134.53	$265.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $71.22 / $132.13	Professional		$48.31	$71.22	$132.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $77.41 / $95.81	Facility		$64.51	$77.41	$95.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $138.38 / $138.38	Professional		$104.74	$138.38	$138.38
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 $72.95 / $138.38 / $247.95	Professional		$72.95	$138.38	$247.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,007.41 / $2,007.41 / $2,007.41	Facility		$2,007.41	$2,007.41	$2,007.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $148.38 / $252.48	Professional		$77.51	$148.38	$252.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $153.74 / $209.77	Professional		$112.90	$153.74	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.82 / $169.83 / $292.47	Professional		$117.82	$169.83	$292.47