Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $1,967.00 / $9,534.00	Facility		$120.35	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $120.35 / $207.96	Professional		$81.84	$120.35	$207.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $109.31 / $193.99	Professional		$67.19	$109.31	$193.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $95.78 / $118.55	Facility		$79.81	$95.78	$118.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $128.00 / $128.00	Professional		$120.86	$128.00	$128.00
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 $95.78 / $146.00 / $230.47	Professional		$95.78	$146.00	$230.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $324.27 / $324.27 / $324.27	Facility		$324.27	$324.27	$324.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.97 / $151.27 / $230.47	Professional		$98.97	$151.27	$230.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $156.67 / $210.19	Professional		$115.59	$156.67	$210.19
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,017.00 / $3,398.00	Facility		$480.00	$1,017.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.41 / $150.91 / $247.58	Professional		$104.41	$150.91	$247.58