Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $1,902.00 / $9,534.00	Facility		$166.74	$1,902.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $168.53 / $309.52	Professional		$91.10	$168.53	$309.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $147.31 / $277.72	Professional		$73.19	$147.31	$277.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.23 / $141.27 / $172.85	Facility		$115.23	$141.27	$172.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.95 / $199.56 / $311.33	Professional		$97.95	$199.56	$311.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $126.89 / $21,571.00	Facility		$113.79	$126.89	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $173.21 / $318.55	Professional		$93.07	$173.21	$318.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $113.79 / $126.89	Facility		$113.79	$113.79	$126.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $180.81 / $310.10	Professional		$98.27	$180.81	$310.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $186.05 / $257.67	Professional		$137.47	$186.05	$257.67
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,849.00 / $4,132.00	Facility		$745.00	$1,849.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $182.61 / $365.22	Professional		$104.77	$182.61	$365.22