Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.99 / $5,135.00 / $10,817.74	Facility		$251.99	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $176.18 / $332.68	Professional		$160.31	$176.18	$332.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $162.63 / $271.76	Professional		$113.31	$162.63	$271.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.41 / $167.36 / $243.70	Facility		$153.41	$167.36	$243.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $180.49 / $229.71	Professional		$180.49	$180.49	$229.71
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 $172.25 / $254.32 / $379.63	Professional		$172.25	$254.32	$379.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $199.04 / $199.04 / $199.04	Facility		$199.04	$199.04	$199.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $172.28 / $254.32 / $379.63	Professional		$172.28	$254.32	$379.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $160.84 / $225.96	Professional		$120.45	$160.84	$225.96
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 $138.30 / $227.15 / $350.22	Professional		$138.30	$227.15	$350.22