Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.01 / $5,447.00 / $10,635.00	Facility		$340.01	$5,447.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.39 / $184.39 / $486.79	Professional		$184.39	$184.39	$486.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $303.67 / $495.16	Professional		$219.40	$303.67	$495.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.95 / $211.14 / $261.33	Facility		$175.95	$211.14	$261.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $193.55 / $193.55	Professional		$142.50	$193.55	$193.55
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 $201.61 / $268.67 / $405.00	Professional		$201.61	$268.67	$405.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,549.68 / $4,549.68 / $4,549.68	Facility		$4,549.68	$4,549.68	$4,549.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $201.61 / $270.08 / $395.01	Professional		$201.61	$270.08	$395.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $236.73 / $319.37	Professional		$176.74	$236.73	$319.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.87 / $257.16 / $413.21	Professional		$188.87	$257.16	$413.21