Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.36 / $2,113.00 / $10,268.00	Facility		$248.36	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.49 / $259.24 / $493.42	Professional		$223.49	$259.24	$493.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $2,412.00 / $8,800.00	Facility		$993.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $198.83 / $342.01	Professional		$138.53	$198.83	$342.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.99 / $223.62 / $325.63	Facility		$204.99	$223.62	$325.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $267.42 / $340.35	Professional		$251.17	$267.42	$340.35
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 $242.44 / $346.04 / $516.36	Professional		$242.44	$346.04	$516.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $394.33 / $394.33 / $394.33	Facility		$394.33	$394.33	$394.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $243.11 / $353.54 / $514.50	Professional		$243.11	$353.54	$514.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $191.16 / $292.06	Professional		$67.08	$191.16	$292.06
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 $223.85 / $341.56 / $567.46	Professional		$223.85	$341.56	$567.46