Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.91 / $4,723.00 / $11,627.00	Facility		$206.91	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $212.60 / $380.82	Professional		$196.28	$212.60	$380.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $4,506.70 / $8,397.10	Facility		$1,830.00	$4,506.70	$8,397.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $242.44 / $397.42	Professional		$183.18	$242.44	$397.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.41 / $238.09 / $294.68	Facility		$198.41	$238.09	$294.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.20 / $218.25 / $257.93	Professional		$181.20	$218.25	$257.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $425.00 / $21,571.00	Facility		$238.55	$425.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $297.94 / $444.00	Professional		$213.87	$297.94	$444.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $425.00 / $1,200.00	Facility		$238.55	$425.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $305.94 / $440.59	Professional		$213.87	$305.94	$440.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $232.65 / $312.43	Professional		$169.48	$232.65	$312.43
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.19 / $256.87 / $438.32	Professional		$185.19	$256.87	$438.32