Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.18 / $1,729.35 / $8,553.00	Facility		$171.18	$1,729.35	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $150.00 / $280.77	Professional		$100.70	$150.00	$280.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $116.87 / $189.40	Professional		$88.81	$116.87	$189.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $126.96 / $158.78	Facility		$99.96	$126.96	$158.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $170.45 / $216.93	Professional		$135.44	$170.45	$216.93
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 $124.38 / $181.29 / $295.58	Professional		$124.38	$181.29	$295.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $193.14 / $913.08 / $3,737.18	Facility		$193.14	$913.08	$3,737.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $182.87 / $295.58	Professional		$125.09	$182.87	$295.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $177.90 / $252.76	Professional		$136.48	$177.90	$252.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $209.18 / $329.33	Professional		$136.16	$209.18	$329.33