Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.04 / $854.59 / $11,627.00	Facility		$170.04	$854.59	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $249.66 / $463.72	Professional		$150.97	$249.66	$463.72
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 $123.45 / $168.47 / $272.61	Professional		$123.45	$168.47	$272.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $155.66 / $226.66	Facility		$142.69	$155.66	$226.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.53 / $290.72 / $370.01	Professional		$197.53	$290.72	$370.01
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 $178.55 / $274.69 / $445.15	Professional		$178.55	$274.69	$445.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $272.82 / $272.82 / $5,180.47	Facility		$272.82	$272.82	$5,180.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $285.66 / $453.34	Professional		$180.00	$285.66	$453.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $283.27 / $400.12	Professional		$216.90	$283.27	$400.12
United Facility/Professional Facility Modifier Low / Median / High Price $199.30 / $738.00 / $2,816.00	Facility		$199.30	$738.00	$2,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.10 / $302.89 / $518.44	Professional		$199.10	$302.89	$518.44