Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.18 / $837.00 / $11,627.00	Facility		$199.18	$837.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.17 / $258.13 / $498.01	Professional		$166.17	$258.13	$498.01
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 $143.66 / $194.81 / $314.39	Professional		$143.66	$194.81	$314.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.02 / $182.21 / $265.33	Facility		$167.02	$182.21	$265.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $334.60 / $425.85	Professional		$208.77	$334.60	$425.85
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 $204.07 / $307.92 / $501.89	Professional		$204.07	$307.92	$501.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $319.37 / $319.37 / $319.37	Facility		$319.37	$319.37	$319.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $209.01 / $319.39 / $503.30	Professional		$209.01	$319.39	$503.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.76 / $353.86 / $499.93	Professional		$267.76	$353.86	$499.93
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 $232.44 / $354.19 / $569.34	Professional		$232.44	$354.19	$569.34