Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.96 / $600.97 / $3,799.00	Facility		$134.96	$600.97	$3,799.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.67 / $70.03 / $205.55	Facility	52	$41.67	$70.03	$205.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $125.99 / $218.63	Professional		$83.34	$125.99	$218.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $115.47 / $200.27	Professional		$80.16	$115.47	$200.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.57 / $113.21 / $134.52	Facility		$90.57	$113.21	$134.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $161.26 / $196.72	Professional		$123.38	$161.26	$196.72
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 $93.11 / $137.37 / $215.22	Professional		$93.11	$137.37	$215.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $232.63 / $407.01 / $716.62	Facility		$232.63	$407.01	$716.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $143.34 / $215.22	Professional		$95.10	$143.34	$215.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $128.11 / $188.31	Professional		$89.08	$128.11	$188.31
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.72 / $133.88 / $221.61	Professional		$93.72	$133.88	$221.61