Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.23 / $4,723.00 / $11,627.00	Facility		$168.23	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $168.23 / $312.27	Professional		$154.49	$168.23	$312.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,507.00 / $3,507.00 / $3,731.00	Facility		$3,507.00	$3,507.00	$3,731.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $184.92 / $313.52	Professional		$140.34	$184.92	$313.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $193.78 / $239.84	Facility		$161.47	$193.78	$239.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $177.63 / $209.92	Professional		$164.88	$177.63	$209.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $192.58 / $21,571.00	Facility		$192.58	$192.58	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $227.31 / $341.49	Professional		$169.24	$227.31	$341.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $192.58 / $600.00	Facility		$192.58	$192.58	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.82 / $234.15 / $341.10	Professional		$170.82	$234.15	$341.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $194.21 / $259.17	Professional		$145.40	$194.21	$259.17
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 $148.44 / $202.83 / $359.74	Professional		$148.44	$202.83	$359.74