Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.76 / $1,981.56 / $8,956.00	Facility		$167.76	$1,981.56	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $152.51 / $274.51	Professional		$99.06	$152.51	$274.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $140.85 / $235.06	Professional		$100.21	$140.85	$235.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $115.34 / $142.77	Facility		$96.12	$115.34	$142.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.26 / $151.11 / $151.11	Professional		$131.26	$151.11	$151.11
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 $109.43 / $167.59 / $279.45	Professional		$109.43	$167.59	$279.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,157.70 / $1,643.41 / $5,027.37	Facility		$1,157.70	$1,643.41	$5,027.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $176.76 / $279.45	Professional		$115.34	$176.76	$279.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $195.97 / $260.38	Professional		$145.00	$195.97	$260.38
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 $132.07 / $178.64 / $297.13	Professional		$132.07	$178.64	$297.13