Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $3,325.00 / $10,635.00	Facility		$152.16	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $110.57 / $236.73	Professional		$100.31	$110.57	$236.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,141.00 / $3,111.00	Facility		$772.00	$2,141.00	$3,111.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $140.76 / $222.96	Professional		$99.74	$140.76	$222.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.88 / $111.14 / $161.85	Facility		$101.88	$111.14	$161.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $119.87 / $152.56	Professional		$119.87	$119.87	$152.56
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 $114.42 / $160.80 / $224.80	Professional		$114.42	$160.80	$224.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $130.16	Facility		$130.16	$130.16	$130.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $118.93 / $165.05 / $224.80	Professional		$118.93	$165.05	$224.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $107.71 / $152.74	Professional		$82.40	$107.71	$152.74
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 $95.04 / $147.11 / $221.86	Professional		$95.04	$147.11	$221.86