Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.27 / $2,113.00 / $10,268.00	Facility		$240.27	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $224.42 / $419.53	Professional		$145.85	$224.42	$419.53
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 $121.52 / $164.78 / $263.64	Professional		$121.52	$164.78	$263.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.91 / $153.72 / $223.84	Facility		$140.91	$153.72	$223.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.03 / $262.38 / $333.94	Professional		$185.03	$262.38	$333.94
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 $175.96 / $264.92 / $418.34	Professional		$175.96	$264.92	$418.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $269.43 / $269.43	Facility		$269.43	$269.43	$269.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $274.31 / $418.34	Professional		$180.00	$274.31	$418.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $248.71 / $350.11	Professional		$190.70	$248.71	$350.11
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 $187.58 / $284.45 / $450.40	Professional		$187.58	$284.45	$450.40