Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.07 / $4,723.00 / $11,627.00	Facility		$186.07	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $194.60 / $400.03	Professional		$180.19	$194.60	$400.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.79 / $238.69 / $371.53	Professional		$167.79	$238.69	$371.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.58 / $201.36 / $293.20	Facility		$184.58	$201.36	$293.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $217.15 / $276.37	Professional		$217.15	$217.15	$276.37
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 $207.28 / $286.25 / $420.77	Professional		$207.28	$286.25	$420.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $234.11 / $234.11 / $234.11	Facility		$234.11	$234.11	$234.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $292.93 / $421.57	Professional		$207.28	$292.93	$421.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.53 / $216.49 / $302.45	Professional		$166.53	$216.49	$302.45
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.36 / $273.75 / $455.03	Professional		$172.36	$273.75	$455.03