Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.84 / $4,723.00 / $11,627.00	Facility		$233.84	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.64 / $233.84 / $434.36	Professional		$213.64	$233.84	$434.36
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 $204.98 / $284.68 / $468.83	Professional		$204.98	$284.68	$468.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $267.95 / $331.65	Facility		$223.29	$267.95	$331.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.62 / $245.62 / $290.27	Professional		$245.62	$245.62	$290.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $425.00 / $21,571.00	Facility		$267.61	$425.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $312.60 / $482.03	Professional		$234.45	$312.60	$482.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $425.00 / $1,200.00	Facility		$267.61	$425.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $237.81 / $324.27 / $474.75	Professional		$237.81	$324.27	$474.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $272.35 / $365.86	Professional		$205.02	$272.35	$365.86
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 $206.33 / $287.64 / $503.52	Professional		$206.33	$287.64	$503.52