Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $616.64 / $4,975.00	Facility		$178.13	$616.64	$4,975.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.02 / $132.44 / $402.00	Facility	52	$35.02	$132.44	$402.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $178.13 / $389.82	Professional		$63.68	$178.13	$389.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $31.84 / $89.07 / $160.12	Professional	52	$31.84	$89.07	$160.12
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 $64.31 / $120.42 / $260.70	Professional		$64.31	$120.42	$260.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $75.84 / $90.11	Facility		$60.67	$75.84	$90.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.62 / $222.91 / $384.88	Professional		$188.62	$222.91	$384.88
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 $72.80 / $185.89 / $333.64	Professional		$72.80	$185.89	$333.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $152.38 / $288.30 / $530.51	Facility		$152.38	$288.30	$530.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $188.66 / $354.57	Professional		$74.68	$188.66	$354.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.45 / $192.02 / $263.93	Professional		$140.45	$192.02	$263.93
United Facility/Professional Facility Modifier Low / Median / High Price $145.84 / $796.00 / $3,218.00	Facility		$145.84	$796.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $231.48 / $396.18	Professional		$158.22	$231.48	$396.18