Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.95 / $2,485.00 / $9,516.00	Facility		$202.95	$2,485.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $202.95 / $357.49	Professional		$123.55	$202.95	$357.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $160.79 / $309.68	Professional		$87.70	$160.79	$309.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $137.33 / $169.98	Facility		$114.44	$137.33	$169.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.66 / $203.69 / $203.69	Professional		$147.66	$203.69	$203.69
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 $130.88 / $208.52 / $362.33	Professional		$130.88	$208.52	$362.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,288.96 / $2,288.96 / $2,288.96	Facility		$2,288.96	$2,288.96	$2,288.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $222.20 / $366.16	Professional		$137.33	$222.20	$366.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.63 / $231.85 / $314.89	Professional		$172.63	$231.85	$314.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.31 / $247.31 / $423.07	Professional		$172.31	$247.31	$423.07