Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.83 / $3,983.00 / $10,268.00	Facility		$220.83	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $194.04 / $378.62	Professional		$140.69	$194.04	$378.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $204.39 / $351.41	Professional		$133.63	$204.39	$351.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $162.72 / $236.94	Facility		$149.16	$162.72	$236.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $238.36 / $303.37	Professional		$162.62	$238.36	$303.37
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 $177.75 / $249.27 / $376.24	Professional		$177.75	$249.27	$376.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $285.79	Facility		$285.79	$285.79	$285.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $252.33 / $386.48	Professional		$177.92	$252.33	$386.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $209.94 / $301.23	Professional		$156.93	$209.94	$301.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $255.07 / $420.78	Professional		$167.04	$255.07	$420.78