Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.99 / $1,902.00 / $9,504.00	Facility		$207.99	$1,902.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $207.99 / $413.60	Professional		$146.43	$207.99	$413.60
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 $91.20 / $136.27 / $235.35	Professional		$91.20	$136.27	$235.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.81 / $164.17 / $203.20	Facility		$136.81	$164.17	$203.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $215.97 / $215.97	Professional		$162.62	$215.97	$215.97
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 $142.40 / $236.81 / $398.37	Professional		$142.40	$236.81	$398.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11,953.83 / $11,953.83 / $11,953.83	Facility		$11,953.83	$11,953.83	$11,953.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.07 / $245.42 / $405.00	Professional		$160.07	$245.42	$405.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $179.68 / $276.99	Professional		$33.13	$179.68	$276.99
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 $183.52 / $258.50 / $446.18	Professional		$183.52	$258.50	$446.18