Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.70 / $770.00 / $11,627.00	Facility		$183.70	$770.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $238.76 / $459.25	Professional		$152.59	$238.76	$459.25
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 $120.98 / $167.93 / $273.32	Professional		$120.98	$167.93	$273.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.61 / $168.66 / $245.58	Facility		$154.61	$168.66	$245.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.49 / $312.51 / $397.74	Professional		$189.49	$312.51	$397.74
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 $181.88 / $279.95 / $468.77	Professional		$181.88	$279.95	$468.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $295.49 / $295.49 / $295.49	Facility		$295.49	$295.49	$295.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $189.78 / $284.10 / $480.06	Professional		$189.78	$284.10	$480.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $318.39 / $449.83	Professional		$242.98	$318.39	$449.83
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 $208.46 / $329.76 / $555.23	Professional		$208.46	$329.76	$555.23