Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.53 / $687.00 / $11,627.00	Facility		$152.53	$687.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $217.63 / $398.11	Professional		$131.72	$217.63	$398.11
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 $106.51 / $145.35 / $236.58	Professional		$106.51	$145.35	$236.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.94 / $139.57 / $203.25	Facility		$127.94	$139.57	$203.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $273.70 / $348.35	Professional		$183.23	$273.70	$348.35
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 $160.11 / $258.61 / $423.16	Professional		$160.11	$258.61	$423.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $244.48 / $244.48 / $244.48	Facility		$244.48	$244.48	$244.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $261.26 / $424.74	Professional		$164.21	$261.26	$424.74
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 $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $267.36 / $446.57	Professional		$154.38	$267.36	$446.57