Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.98 / $1,883.00 / $10,268.00	Facility		$209.98	$1,883.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $209.98 / $467.97	Professional		$127.67	$209.98	$467.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $168.58 / $286.18	Professional		$110.55	$168.58	$286.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $160.78 / $201.11	Facility		$126.60	$160.78	$201.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.58 / $240.68 / $306.32	Professional		$196.58	$240.68	$306.32
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 $158.41 / $251.62 / $429.08	Professional		$158.41	$251.62	$429.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $243.12 / $243.12	Facility		$243.12	$243.12	$243.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $255.99 / $427.95	Professional		$160.35	$255.99	$427.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $228.20 / $323.54	Professional		$173.49	$228.20	$323.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,853.00	Facility		$2,840.00	$5,625.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.43 / $330.63 / $554.89	Professional		$198.43	$330.63	$554.89