Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,485.00 / $10,268.00	Facility		$379.00	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $211.64 / $386.98	Professional		$194.75	$211.64	$386.98
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 $117.44 / $183.84 / $335.99	Professional		$117.44	$183.84	$335.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.26 / $242.71 / $300.39	Facility		$202.26	$242.71	$300.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $222.49 / $262.94	Professional		$156.00	$222.49	$262.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $577.00 / $995.93	Facility		$240.68	$577.00	$995.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.14 / $275.70 / $424.75	Professional		$183.14	$275.70	$424.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $741.93	Facility		$366.00	$577.00	$741.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.07 / $283.17 / $422.71	Professional		$200.07	$283.17	$422.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.17 / $228.10 / $320.33	Professional		$161.17	$228.10	$320.33
United Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $1,848.00 / $4,067.00	Facility		$487.00	$1,848.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.57 / $239.16 / $437.17	Professional		$169.57	$239.16	$437.17