Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $1,671.12 / $8,956.00	Facility		$188.33	$1,671.12	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $171.21 / $324.77	Professional		$118.75	$171.21	$324.77
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 $94.81 / $158.03 / $277.58	Professional		$94.81	$158.03	$277.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.02 / $139.22 / $172.32	Facility		$116.02	$139.22	$172.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $182.07 / $182.07	Professional		$164.50	$182.07	$182.07
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 $139.22 / $201.94 / $321.33	Professional		$139.22	$201.94	$321.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,017.35 / $1,017.35 / $1,017.35	Facility		$1,017.35	$1,017.35	$1,017.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $211.16 / $321.87	Professional		$140.76	$211.16	$321.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.14 / $194.73 / $260.38	Professional		$143.14	$194.73	$260.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $208.13 / $351.54	Professional		$149.24	$208.13	$351.54