Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.84 / $4,723.00 / $11,627.00	Facility		$112.84	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $115.52 / $212.23	Professional		$107.75	$115.52	$212.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $149.25 / $246.36	Professional		$120.40	$149.25	$246.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.80 / $129.36 / $160.11	Facility		$107.80	$129.36	$160.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $118.58 / $140.13	Professional		$101.03	$118.58	$140.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $530.00 / $21,571.00	Facility		$129.34	$530.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $168.87 / $258.86	Professional		$115.07	$168.87	$258.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $530.00 / $600.00	Facility		$129.34	$530.00	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $170.60 / $276.39	Professional		$118.58	$170.60	$276.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $154.02 / $210.17	Professional		$115.33	$154.02	$210.17
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $149.50 / $246.99	Professional		$104.86	$149.50	$246.99