Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.35 / $2,113.00 / $10,268.00	Facility		$161.35	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $156.49 / $275.24	Professional		$130.38	$156.49	$275.24
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 $105.03 / $149.30 / $276.62	Professional		$105.03	$149.30	$276.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.54 / $223.96 / $414.93	Professional	50	$157.54	$223.96	$414.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $220.08 / $269.27	Facility		$108.93	$220.08	$269.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $181.81 / $283.64	Professional		$152.59	$181.81	$283.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $89.49 / $21,571.00	Facility		$80.25	$89.49	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.74 / $197.69 / $334.55	Professional		$130.74	$197.69	$334.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $80.25 / $89.49	Facility		$80.25	$80.25	$89.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $194.69 / $299.41	Professional		$137.83	$194.69	$299.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $166.94 / $234.63	Professional		$123.62	$166.94	$234.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $165.43 / $335.83	Professional		$132.76	$165.43	$335.83