Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.20 / $1,902.00 / $9,516.00	Facility		$240.20	$1,902.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $300.20 / $663.11	Professional		$146.37	$300.20	$663.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,927.00 / $2,412.00 / $9,819.00	Facility		$1,927.00	$2,412.00	$9,819.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $297.87 / $581.42	Professional		$146.00	$297.87	$581.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.24 / $186.74 / $235.74	Facility		$128.24	$186.74	$235.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.04 / $385.94 / $491.12	Professional		$277.04	$385.94	$491.12
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 $144.74 / $292.35 / $564.50	Professional		$144.74	$292.35	$564.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.83 / $147.83 / $147.83	Facility		$147.83	$147.83	$147.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $150.87 / $302.22 / $568.16	Professional		$150.87	$302.22	$568.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $259.73 / $343.52 / $461.29	Professional		$259.73	$343.52	$461.29
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 $302.05 / $433.85 / $612.07	Professional		$302.05	$433.85	$612.07