Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.58 / $2,181.00 / $8,913.00	Facility		$171.58	$2,181.00	$8,913.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $158.49 / $300.64	Professional		$106.20	$158.49	$300.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.43 / $127.43 / $221.35	Professional		$86.43	$127.43	$221.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.41 / $128.88 / $159.53	Facility		$107.41	$128.88	$159.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $166.77 / $166.77	Professional		$124.60	$166.77	$166.77
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 $118.15 / $168.26 / $293.18	Professional		$118.15	$168.26	$293.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,937.77 / $2,937.77 / $2,937.77	Facility		$2,937.77	$2,937.77	$2,937.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $174.29 / $297.97	Professional		$124.67	$174.29	$297.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $153.74 / $209.77	Professional		$112.90	$153.74	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $170.63 / $302.58	Professional		$113.49	$170.63	$302.58