Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.54 / $1,725.00 / $8,553.00	Facility		$198.54	$1,725.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $187.09 / $353.03	Professional		$132.90	$187.09	$353.03
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 $108.80 / $164.67 / $270.23	Professional		$108.80	$164.67	$270.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $153.79 / $190.34	Facility		$128.16	$153.79	$190.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $193.82 / $229.06	Professional		$160.19	$193.82	$229.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.25 / $366.00 / $577.00	Facility		$172.25	$366.00	$577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.97 / $211.44 / $357.68	Professional		$140.97	$211.44	$357.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $172.25 / $379.00 / $677.35	Facility		$172.25	$379.00	$677.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $217.43 / $357.11	Professional		$147.38	$217.43	$357.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.17 / $187.24 / $271.28	Professional		$128.17	$187.24	$271.28
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 $160.09 / $222.25 / $378.67	Professional		$160.09	$222.25	$378.67