Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.35 / $958.00 / $11,627.00	Facility		$213.35	$958.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $288.39 / $548.41	Professional		$174.14	$288.39	$548.41
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 $133.84 / $188.95 / $313.77	Professional		$133.84	$188.95	$313.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.49 / $193.62 / $281.93	Facility		$177.49	$193.62	$281.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.12 / $377.04 / $479.86	Professional		$253.12	$377.04	$479.86
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 $203.25 / $335.90 / $579.46	Professional		$203.25	$335.90	$579.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $336.83 / $336.83 / $336.83	Facility		$336.83	$336.83	$336.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $218.29 / $342.76 / $586.42	Professional		$218.29	$342.76	$586.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $389.96 / $550.84	Professional		$293.55	$389.96	$550.84
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $881.00 / $2,833.00	Facility		$444.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.05 / $376.54 / $628.62	Professional		$244.05	$376.54	$628.62