Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.19 / $2,113.00 / $10,268.00	Facility		$241.19	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $266.89 / $506.17	Professional		$126.56	$266.89	$506.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $174.90 / $317.89	Professional		$131.13	$174.90	$317.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $168.20 / $199.85	Facility		$137.26	$168.20	$199.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.91 / $304.91 / $387.56	Professional		$304.91	$304.91	$387.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $243.65 / $21,571.00	Facility		$243.65	$243.65	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $297.26 / $580.20	Professional		$163.31	$297.26	$580.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $243.65 / $243.65 / $370.00	Facility		$243.65	$243.65	$370.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $163.31 / $297.26 / $548.55	Professional		$163.31	$297.26	$548.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.87 / $330.41 / $461.13	Professional		$249.87	$330.41	$461.13
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.37 / $418.56 / $761.48	Professional		$307.37	$418.56	$761.48