Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.79 / $2,292.00 / $9,534.00	Facility		$162.79	$2,292.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $162.79 / $294.25	Professional		$120.11	$162.79	$294.25
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 $110.39 / $144.16 / $235.58	Professional		$110.39	$144.16	$235.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.65 / $149.41 / $186.87	Facility		$117.65	$149.41	$186.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.70 / $186.70 / $237.62	Professional		$186.70	$186.70	$237.62
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 $148.65 / $212.16 / $322.58	Professional		$148.65	$212.16	$322.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $224.88 / $224.88 / $224.88	Facility		$224.88	$224.88	$224.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $212.16 / $322.58	Professional		$148.65	$212.16	$322.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.74 / $213.48 / $304.53	Professional		$162.74	$213.48	$304.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $229.63 / $363.24	Professional		$146.22	$229.63	$363.24