Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.23 / $2,113.00 / $10,268.00	Facility		$254.23	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $238.81 / $438.34	Professional		$203.06	$238.81	$438.34
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 $132.02 / $191.94 / $331.29	Professional		$132.02	$191.94	$331.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.23 / $224.98 / $327.58	Facility		$206.23	$224.98	$327.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $235.76 / $274.07 / $348.81	Professional		$235.76	$274.07	$348.81
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 $232.13 / $331.74 / $473.38	Professional		$232.13	$331.74	$473.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $395.53 / $395.53 / $395.53	Facility		$395.53	$395.53	$395.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $232.89 / $336.08 / $477.96	Professional		$232.89	$336.08	$477.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $193.97 / $315.15	Professional		$66.98	$193.97	$315.15
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 $210.29 / $317.48 / $513.91	Professional		$210.29	$317.48	$513.91