Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.82 / $2,485.00 / $10,268.00	Facility		$212.82	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $117.93 / $212.82	Professional		$108.19	$117.93	$212.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $3,242.00 / $19,117.00	Facility		$1,485.00	$3,242.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $113.75 / $187.17	Professional		$81.94	$113.75	$187.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $134.46 / $166.43	Facility		$112.05	$134.46	$166.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $123.26 / $145.66	Professional		$95.58	$123.26	$145.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $577.00 / $8,633.36	Facility		$132.63	$577.00	$8,633.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $159.21 / $257.43	Professional		$112.59	$159.21	$257.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $6,431.48	Facility		$366.00	$577.00	$6,431.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $163.66 / $257.43	Professional		$117.66	$163.66	$257.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $154.19 / $210.17	Professional		$115.33	$154.19	$210.17
United Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $5,460.00 / $9,245.00	Facility		$819.00	$5,460.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $142.38 / $247.33	Professional		$98.88	$142.38	$247.33