Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $7,155.00 / $11,627.00	Facility		$246.21	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.81 / $246.21 / $471.56	Professional		$225.81	$246.21	$471.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,175.00 / $14,996.00	Facility		$919.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.82 / $272.36 / $454.15	Professional		$198.82	$272.36	$454.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.27 / $260.26 / $330.45	Facility		$198.27	$260.26	$330.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.79 / $256.86 / $396.97	Professional		$214.79	$256.86	$396.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $425.00 / $21,571.00	Facility		$297.22	$425.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $326.79 / $522.47	Professional		$236.42	$326.79	$522.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $425.00 / $1,200.00	Facility		$297.22	$425.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $331.58 / $480.18	Professional		$236.42	$331.58	$480.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $140.74 / $176.49	Professional		$122.39	$140.74	$176.49
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 $182.57 / $260.20 / $430.66	Professional		$182.57	$260.20	$430.66