Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.46 / $1,791.00 / $9,504.00	Facility		$161.46	$1,791.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.92 / $161.46 / $307.69	Professional		$86.92	$161.46	$307.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $126.09 / $242.17	Professional		$80.48	$126.09	$242.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $100.78 / $124.73	Facility		$83.98	$100.78	$124.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $167.59 / $167.59	Professional		$140.12	$167.59	$167.59
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 $96.58 / $173.26 / $319.93	Professional		$96.58	$173.26	$319.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $190.80 / $867.32	Facility		$190.80	$190.80	$867.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $182.82 / $321.24	Professional		$100.78	$182.82	$321.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $171.39 / $246.02	Professional		$123.24	$171.39	$246.02
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $196.62 / $314.87	Professional		$126.08	$196.62	$314.87