Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.51 / $922.09 / $11,627.00	Facility		$191.51	$922.09	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $253.37 / $453.68	Professional		$164.02	$253.37	$453.68
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 $125.80 / $173.28 / $287.35	Professional		$125.80	$173.28	$287.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $175.00 / $254.83	Facility		$160.41	$175.00	$254.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $311.91 / $396.97	Professional		$220.28	$311.91	$396.97
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 $197.31 / $301.89 / $488.17	Professional		$197.31	$301.89	$488.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $306.83 / $306.83 / $306.83	Facility		$306.83	$306.83	$306.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $308.83 / $496.21	Professional		$204.17	$308.83	$496.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.27 / $318.05 / $449.52	Professional		$240.27	$318.05	$449.52
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 $215.26 / $328.10 / $570.45	Professional		$215.26	$328.10	$570.45