Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.26 / $2,113.00 / $10,268.00	Facility		$209.26	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $209.26 / $466.37	Professional		$137.56	$209.26	$466.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $155.96 / $250.13	Professional		$112.37	$155.96	$250.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.58 / $174.72 / $218.55	Facility		$137.58	$174.72	$218.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $240.94 / $306.66	Professional		$240.94	$240.94	$306.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.30 / $253.75 / $427.62	Professional		$170.30	$253.75	$427.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $265.33 / $265.33 / $265.33	Facility		$265.33	$265.33	$265.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $260.66 / $431.25	Professional		$173.51	$260.66	$431.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.64 / $214.91 / $306.72	Professional		$154.64	$214.91	$306.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.36 / $320.95 / $469.22	Professional		$202.36	$320.95	$469.22