Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.61 / $2,113.00 / $10,268.00	Facility		$181.61	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.74 / $190.10 / $374.87	Professional		$156.74	$190.10	$374.87
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 $96.14 / $144.78 / $251.46	Professional		$96.14	$144.78	$251.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.33 / $182.54 / $265.82	Facility		$167.33	$182.54	$265.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.38 / $229.60 / $292.22	Professional		$158.38	$229.60	$292.22
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 $189.68 / $265.95 / $384.30	Professional		$189.68	$265.95	$384.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $320.20 / $320.20	Facility		$320.20	$320.20	$320.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $196.87 / $271.35 / $385.79	Professional		$196.87	$271.35	$385.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $174.13 / $287.87	Professional		$32.41	$174.13	$287.87
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 $167.54 / $254.08 / $418.73	Professional		$167.54	$254.08	$418.73