Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.27 / $2,113.00 / $9,534.00	Facility		$160.27	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $206.90 / $363.35	Professional		$90.20	$206.90	$363.35
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 $83.73 / $110.33 / $181.39	Professional		$83.73	$110.33	$181.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $119.06 / $148.91	Facility		$93.74	$119.06	$148.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $263.29 / $335.09	Professional		$257.73	$263.29	$335.09
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 $113.28 / $204.14 / $394.99	Professional		$113.28	$204.14	$394.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.85 / $180.85 / $1,300.50	Facility		$180.85	$180.85	$1,300.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $115.30 / $204.14 / $407.17	Professional		$115.30	$204.14	$407.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.64 / $281.87 / $400.12	Professional		$209.64	$281.87	$400.12
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 $192.41 / $310.52 / $479.60	Professional		$192.41	$310.52	$479.60