Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.88 / $2,764.50 / $9,863.00	Facility		$144.88	$2,764.50	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $144.88 / $259.33	Professional		$88.67	$144.88	$259.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,847.00 / $19,117.00	Facility		$2,003.00	$4,847.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $103.27 / $192.06	Professional		$66.25	$103.27	$192.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $105.25 / $164.46	Facility		$87.71	$105.25	$164.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $267.00 / $267.00	Professional		$267.00	$267.00	$267.00
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 $100.86 / $140.47 / $255.26	Professional		$100.86	$140.47	$255.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $629.36 / $5,890.41 / $10,874.27	Facility		$629.36	$5,890.41	$10,874.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.58 / $147.69 / $269.77	Professional		$104.58	$147.69	$269.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $152.87 / $209.48	Professional		$108.90	$152.87	$209.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,874.00 / $6,111.00 / $7,853.00	Facility		$2,874.00	$6,111.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.98 / $144.96 / $254.18	Professional		$97.98	$144.96	$254.18