Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.99 / $2,485.00 / $10,268.00	Facility		$191.99	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $129.61 / $241.66	Professional		$120.43	$129.61	$241.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $1,927.00 / $2,412.00	Facility		$516.00	$1,927.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $155.37 / $249.54	Professional		$119.51	$155.37	$249.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.89 / $148.66 / $184.01	Facility		$123.89	$148.66	$184.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $136.28 / $161.06	Professional		$90.69	$136.28	$161.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $530.00 / $21,571.00	Facility		$147.79	$530.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.10 / $179.75 / $271.17	Professional		$132.10	$179.75	$271.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $530.00 / $600.00	Facility		$147.79	$530.00	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $187.09 / $270.02	Professional		$133.44	$187.09	$270.02
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 $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $165.00 / $275.68	Professional		$114.30	$165.00	$275.68