Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.10 / $2,292.00 / $9,516.00	Facility		$143.10	$2,292.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $143.10 / $266.20	Professional		$88.98	$143.10	$266.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $113.38 / $181.67	Professional		$87.38	$113.38	$181.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.32 / $110.89 / $138.71	Facility		$87.32	$110.89	$138.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.07 / $161.07 / $205.00	Professional		$161.07	$161.07	$205.00
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 $109.27 / $171.33 / $280.07	Professional		$109.27	$171.33	$280.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $168.21 / $168.21 / $168.21	Facility		$168.21	$168.21	$168.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $171.33 / $280.07	Professional		$111.14	$171.33	$280.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $178.00 / $252.76	Professional		$136.48	$178.00	$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 $134.38 / $207.66 / $305.14	Professional		$134.38	$207.66	$305.14