Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.83 / $2,547.00 / $10,635.00	Facility		$298.83	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $192.56 / $300.81	Professional		$125.45	$192.56	$300.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $153.57 / $233.99	Professional		$111.96	$153.57	$233.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.76 / $189.64 / $234.72	Facility		$147.76	$189.64	$234.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $173.83 / $205.44	Professional		$155.22	$173.83	$205.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $328.83 / $21,571.00	Facility		$193.75	$328.83	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.68 / $196.04 / $337.19	Professional		$135.68	$196.04	$337.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $328.83 / $577.00	Facility		$193.75	$328.83	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.59 / $204.50 / $324.07	Professional		$143.59	$204.50	$324.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $179.11 / $259.49	Professional		$135.96	$179.11	$259.49
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $975.00 / $3,218.00	Facility		$214.00	$975.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $183.26 / $361.00	Professional		$121.06	$183.26	$361.00