Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.09 / $2,116.05 / $4,238.72	Facility		$113.09	$2,116.05	$4,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $119.94 / $321.56	Professional		$82.72	$119.94	$321.56
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 $111.75 / $168.71 / $288.97	Professional		$111.75	$168.71	$288.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $145.60 / $145.60	Facility		$91.66	$145.60	$145.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $107.83 / $115.23	Professional		$107.83	$107.83	$115.23
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 $102.37 / $148.30 / $234.60	Professional		$102.37	$148.30	$234.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,804.97 / $3,804.97 / $3,804.97	Facility		$3,804.97	$3,804.97	$3,804.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $151.94 / $234.60	Professional		$107.70	$151.94	$234.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.28 / $159.46 / $212.56	Professional		$119.28	$159.46	$212.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.49 / $132.34 / $231.08	Professional		$96.49	$132.34	$231.08