Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.80 / $2,113.00 / $9,516.00	Facility		$127.80	$2,113.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $116.18 / $221.09	Professional		$89.39	$116.18	$221.09
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 $86.02 / $114.02 / $184.76	Professional		$86.02	$114.02	$184.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $125.37 / $156.81	Facility		$98.71	$125.37	$156.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $134.61 / $171.32	Professional		$94.19	$134.61	$171.32
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 $110.85 / $152.97 / $224.21	Professional		$110.85	$152.97	$224.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $785.39	Facility		$187.40	$187.40	$785.39
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $153.09 / $224.21	Professional		$112.94	$153.09	$224.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $123.16 / $179.83	Professional		$89.08	$123.16	$179.83
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 $94.40 / $146.52 / $220.86	Professional		$94.40	$146.52	$220.86