Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.58 / $1,883.00 / $9,516.00	Facility		$391.58	$1,883.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $147.80 / $794.53	Professional		$141.72	$147.80	$794.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.39 / $272.29 / $486.48	Professional		$202.39	$272.29	$486.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.57 / $12,834.09 / $15,929.67	Facility		$128.57	$12,834.09	$15,929.67
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 $144.63 / $198.19 / $294.26	Professional		$144.63	$198.19	$294.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $977.34 / $977.34 / $1,800.05	Facility		$977.34	$977.34	$1,800.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $201.44 / $288.76	Professional		$144.63	$201.44	$288.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,048.00 / $4,132.00	Facility		$1,106.00	$2,048.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.02 / $185.63 / $304.60	Professional		$129.02	$185.63	$304.60