Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.15 / $2,485.00 / $10,268.00	Facility		$209.15	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.85 / $139.72 / $214.83	Professional		$117.85	$139.72	$214.83
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 $109.52 / $151.07 / $243.98	Professional		$109.52	$151.07	$243.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.98 / $142.43 / $176.29	Facility		$110.98	$142.43	$176.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.56 / $143.59 / $154.30	Professional		$130.56	$143.59	$154.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $328.83 / $21,571.00	Facility		$142.06	$328.83	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $171.51 / $301.83	Professional		$122.29	$171.51	$301.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $328.83 / $577.00	Facility		$142.06	$328.83	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.62 / $170.86 / $263.33	Professional		$124.62	$170.86	$263.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $148.62 / $203.82	Professional		$110.20	$148.62	$203.82
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $965.00 / $2,914.00	Facility		$214.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.46 / $152.79 / $265.62	Professional		$107.46	$152.79	$265.62