Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.39 / $2,485.00 / $9,504.00	Facility		$316.39	$2,485.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $94.44 / $199.97	Professional		$87.95	$94.44	$199.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.81 / $111.41 / $201.85	Professional		$83.81	$111.41	$201.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.69 / $106.43 / $166.29	Facility		$88.69	$106.43	$166.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $97.56 / $172.95	Professional		$97.56	$97.56	$172.95
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 $97.56 / $137.46 / $224.00	Professional		$97.56	$137.46	$224.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $902.90 / $902.90 / $902.90	Facility		$902.90	$902.90	$902.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $138.44 / $232.00	Professional		$97.88	$138.44	$232.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $95.99 / $144.08	Professional		$65.67	$95.99	$144.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,201.61 / $2,251.00 / $4,951.00	Facility		$1,201.61	$2,251.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $119.73 / $199.60	Professional		$90.54	$119.73	$199.60