Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.64 / $2,113.00 / $10,268.00	Facility		$190.64	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $187.63 / $330.05	Professional		$157.08	$187.63	$330.05
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 $93.64 / $137.71 / $237.85	Professional		$93.64	$137.71	$237.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $202.10 / $268.43	Facility		$157.47	$202.10	$268.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.03 / $260.95 / $127,498.73	Professional		$205.03	$260.95	$127,498.73
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 $178.88 / $251.63 / $358.41	Professional		$178.88	$251.63	$358.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.42 / $302.42 / $302.42	Facility		$302.42	$302.42	$302.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $255.80 / $360.74	Professional		$181.40	$255.80	$360.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $164.77 / $257.50	Professional		$30.67	$164.77	$257.50
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 $150.77 / $229.63 / $381.51	Professional		$150.77	$229.63	$381.51