Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.66 / $2,306.00 / $9,516.00	Facility		$92.66	$2,306.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $282.37 / $1,439.94	Professional		$50.12	$282.37	$1,439.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $239.19 / $1,353.13	Professional		$69.72	$239.19	$1,353.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.92 / $57.50 / $71.17	Facility		$47.92	$57.50	$71.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $797.59 / $797.59 / $1,023.65	Professional		$797.59	$797.59	$1,023.65
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 $55.47 / $129.19 / $1,441.55	Professional		$55.47	$129.19	$1,441.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $948.82 / $948.82 / $948.82	Facility		$948.82	$948.82	$948.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $158.19 / $1,514.57	Professional		$57.50	$158.19	$1,514.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $671.59 / $919.19 / $1,278.46	Professional		$671.59	$919.19	$1,278.46
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 $855.59 / $1,153.82 / $1,991.58	Professional		$855.59	$1,153.82	$1,991.58