Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.58 / $2,040.00 / $10,268.00	Facility		$76.58	$2,040.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.02 / $121.96 / $203.17	Professional		$49.02	$121.96	$203.17
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 $42.62 / $111.68 / $233.69	Professional		$42.62	$111.68	$233.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $50.72 / $63.43	Facility		$43.56	$50.72	$63.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $113.75 / $113.75	Professional		$86.38	$113.75	$113.75
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 $47.12 / $88.67 / $210.58	Professional		$47.12	$88.67	$210.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $733.45 / $733.45 / $733.45	Facility		$733.45	$733.45	$733.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $103.41 / $210.58	Professional		$51.25	$103.41	$210.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $149.42 / $206.60	Professional		$112.90	$149.42	$206.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,132.00	Facility		$1,020.00	$1,940.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $161.93 / $242.50	Professional		$118.97	$161.93	$242.50