Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.18 / $2,547.00 / $10,635.00	Facility		$187.18	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $125.88 / $221.78	Professional		$115.86	$125.88	$221.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $163.15 / $276.67	Professional		$114.84	$163.15	$276.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.09 / $152.08 / $180.69	Facility		$124.09	$152.08	$180.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $133.83 / $155.94	Professional		$133.83	$133.83	$155.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $21,571.00	Facility		$147.13	$147.13	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $177.92 / $298.29	Professional		$127.75	$177.92	$298.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $157.19	Facility		$147.13	$147.13	$157.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $182.50 / $273.75	Professional		$130.36	$182.50	$273.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $152.80 / $209.32	Professional		$116.80	$152.80	$209.32
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $165.15 / $317.83	Professional		$125.05	$165.15	$317.83