Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.38 / $2,113.00 / $10,268.00	Facility		$199.38	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $188.57 / $326.43	Professional		$157.44	$188.57	$326.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $179.76 / $297.61	Professional		$117.37	$179.76	$297.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.86 / $189.66 / $276.17	Facility		$173.86	$189.66	$276.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $201.61 / $256.58	Professional		$141.30	$201.61	$256.58
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 $184.63 / $251.02 / $354.52	Professional		$184.63	$251.02	$354.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $222.44	Facility		$222.44	$222.44	$222.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.00 / $256.60 / $354.52	Professional		$186.00	$256.60	$354.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $156.15 / $245.56	Professional		$32.41	$156.15	$245.56
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $220.03 / $365.25	Professional		$145.24	$220.03	$365.25