Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.02 / $334.78 / $9,504.00	Facility		$119.02	$334.78	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $200.08 / $368.04	Professional		$119.02	$200.08	$368.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $109.81 / $222.21	Professional		$48.21	$109.81	$222.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $133.94 / $165.79	Facility		$111.62	$133.94	$165.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $205.12 / $205.12	Professional		$155.50	$205.12	$205.12
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 $117.20 / $212.37 / $381.32	Professional		$117.20	$212.37	$381.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $187.58 / $262.64 / $905.73	Facility		$187.58	$262.64	$905.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $223.76 / $383.39	Professional		$128.88	$223.76	$383.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.73 / $211.55 / $296.47	Professional		$152.73	$211.55	$296.47
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.52 / $248.78 / $398.30	Professional		$169.52	$248.78	$398.30