Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.56 / $2,113.00 / $10,268.00	Facility		$223.56	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.46 / $259.83 / $502.53	Professional		$125.46	$259.83	$502.53
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 $104.32 / $141.63 / $244.92	Professional		$104.32	$141.63	$244.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.42 / $158.01 / $197.65	Facility		$124.42	$158.01	$197.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.75 / $306.17 / $389.68	Professional		$305.75	$306.17	$389.68
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 $156.16 / $280.00 / $513.91	Professional		$156.16	$280.00	$513.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Facility		$239.86	$239.86	$239.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.02 / $292.26 / $513.91	Professional		$157.02	$292.26	$513.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $254.82 / $385.11	Professional		$32.41	$254.82	$385.11
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 $246.46 / $383.85 / $619.05	Professional		$246.46	$383.85	$619.05