Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.41 / $2,113.00 / $9,534.00	Facility		$247.41	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.03 / $247.41 / $367.90	Professional		$183.03	$247.41	$367.90
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 $156.26 / $218.11 / $363.34	Professional		$156.26	$218.11	$363.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.81 / $212.17 / $262.61	Facility		$176.81	$212.17	$262.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.29 / $256.72 / $303.39	Professional		$193.29	$256.72	$303.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.00 / $400.00 / $577.00	Facility		$317.00	$400.00	$577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.93 / $277.60 / $447.38	Professional		$192.93	$277.60	$447.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $329.31 / $400.00 / $577.00	Facility		$329.31	$400.00	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.21 / $284.95 / $446.15	Professional		$199.21	$284.95	$446.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.56 / $259.82 / $375.17	Professional		$182.56	$259.82	$375.17
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $283.22 / $499.70	Professional		$205.84	$283.22	$499.70