Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $2,532.00 / $9,504.00	Facility		$90.31	$2,532.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $97.05 / $177.56	Professional		$49.35	$97.05	$177.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.00 / $1,182.00 / $2,362.00	Facility		$1,182.00	$1,182.00	$2,362.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $65.36 / $113.29	Professional		$54.26	$65.36	$113.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $59.42 / $78.93	Facility		$46.30	$59.42	$78.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.90 / $139.87 / $127,498.73	Professional		$109.90	$139.87	$127,498.73
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 $61.40 / $106.31 / $189.58	Professional		$61.40	$106.31	$189.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $2,872.55	Facility		$89.90	$89.90	$2,872.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $106.31 / $186.09	Professional		$61.40	$106.31	$186.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.30 / $150.61	Professional		$81.79	$106.30	$150.61
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $147.43 / $212.22	Professional		$94.95	$147.43	$212.22