Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.51 / $2,816.00 / $11,627.00	Facility		$104.51	$2,816.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $119.79 / $214.35	Professional		$61.48	$119.79	$214.35
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 $66.09 / $80.76 / $140.68	Professional		$66.09	$80.76	$140.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $69.11 / $86.39	Facility		$57.59	$69.11	$86.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $150.71 / $190.93	Professional		$120.15	$150.71	$190.93
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 $71.98 / $131.28 / $229.86	Professional		$71.98	$131.28	$229.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $137.43 / $1,394.37 / $12,986.45	Facility		$137.43	$1,394.37	$12,986.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $128.15 / $225.11	Professional		$71.41	$128.15	$225.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $106.00 / $150.61	Professional		$79.45	$106.00	$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 $116.52 / $181.53 / $275.35	Professional		$116.52	$181.53	$275.35