Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.07 / $4,085.00 / $9,863.00	Facility		$369.07	$4,085.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.38 / $340.73 / $601.41	Professional		$221.38	$340.73	$601.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,576.00 / $14,996.00	Facility		$1,712.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $204.58 / $369.50	Professional		$139.11	$204.58	$369.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.46 / $241.60 / $351.80	Facility		$221.46	$241.60	$351.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.95 / $390.20 / $496.62	Professional		$314.95	$390.20	$496.62
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 $272.38 / $414.30 / $638.51	Professional		$272.38	$414.30	$638.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $425.74	Facility		$425.74	$425.74	$425.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $278.02 / $415.03 / $638.54	Professional		$278.02	$415.03	$638.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $255.03 / $448.71	Professional		$34.31	$255.03	$448.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $467.57 / $763.96	Professional		$306.39	$467.57	$763.96