Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $4,723.00 / $11,627.00	Facility		$111.69	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $111.69 / $206.45	Professional		$102.43	$111.69	$206.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $130.58 / $208.79	Professional		$93.99	$130.58	$208.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $128.38 / $158.91	Facility		$106.99	$128.38	$158.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $117.69 / $139.09	Professional		$117.69	$117.69	$139.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $127.87 / $21,571.00	Facility		$127.87	$127.87	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $153.44 / $228.97	Professional		$112.34	$153.44	$228.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $127.87 / $600.00	Facility		$127.87	$127.87	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $157.47 / $226.00	Professional		$114.70	$157.47	$226.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $154.19 / $210.17	Professional		$115.33	$154.19	$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 $97.62 / $134.93 / $238.06	Professional		$97.62	$134.93	$238.06