Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $2,040.00 / $10,268.00	Facility		$193.52	$2,040.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $190.13 / $367.10	Professional		$124.82	$190.13	$367.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.55 / $158.44 / $316.18	Professional		$114.55	$158.44	$316.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.97 / $192.45 / $1,525.80	Facility		$156.97	$192.45	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $221.29 / $345.21	Professional		$133.43	$221.29	$345.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $1,124.08 / $21,571.00	Facility		$216.90	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.78 / $195.19 / $345.02	Professional		$126.78	$195.19	$345.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $204.04 / $323.89	Professional		$132.90	$204.04	$323.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $185.45 / $268.94	Professional		$127.68	$185.45	$268.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,474.00 / $4,951.00	Facility		$1,368.00	$2,474.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.32 / $204.07 / $408.38	Professional		$163.32	$204.07	$408.38