Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.38 / $597.84 / $8,956.00	Facility		$172.38	$597.84	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $232.06 / $586.74	Professional		$105.15	$232.06	$586.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $117.52 / $205.81	Professional		$86.46	$117.52	$205.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $121.31 / $150.15	Facility		$101.09	$121.31	$150.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $343.62 / $343.62	Professional		$261.45	$343.62	$343.62
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 $120.28 / $234.60 / $534.20	Professional		$120.28	$234.60	$534.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $226.29 / $226.29 / $226.29	Facility		$226.29	$226.29	$226.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.33 / $277.12 / $537.99	Professional		$123.33	$277.12	$537.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.90 / $384.04 / $527.87	Professional		$280.90	$384.04	$527.87
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 $205.41 / $363.84 / $698.33	Professional		$205.41	$363.84	$698.33