Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.25 / $1,902.00 / $9,504.00	Facility		$196.25	$1,902.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $176.21 / $349.97	Professional		$83.45	$176.21	$349.97
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 $69.47 / $95.63 / $165.70	Professional		$69.47	$95.63	$165.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $105.52 / $131.99	Facility		$83.09	$105.52	$131.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $222.55 / $283.25	Professional		$171.94	$222.55	$283.25
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 $101.30 / $176.43 / $346.32	Professional		$101.30	$176.43	$346.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $1,413.73 / $1,775.36	Facility		$160.15	$1,413.73	$1,775.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $103.98 / $179.51 / $354.30	Professional		$103.98	$179.51	$354.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $248.71 / $350.11	Professional		$190.70	$248.71	$350.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $3,923.00	Facility		$1,020.00	$1,940.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.65 / $254.47 / $379.85	Professional		$165.65	$254.47	$379.85