Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.13 / $4,044.00 / $10,268.00	Facility		$381.13	$4,044.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $381.12 / $678.12	Professional		$247.52	$381.12	$678.12
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 $136.44 / $201.09 / $358.46	Professional		$136.44	$201.09	$358.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.29 / $254.50 / $370.57	Facility		$233.29	$254.50	$370.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.16 / $403.13 / $513.07	Professional		$320.16	$403.13	$513.07
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 $286.92 / $421.46 / $666.47	Professional		$286.92	$421.46	$666.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $448.74 / $448.74	Facility		$448.74	$448.74	$448.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $294.44 / $434.77 / $669.02	Professional		$294.44	$434.77	$669.02
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 $322.64 / $489.24 / $818.29	Professional		$322.64	$489.24	$818.29