Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.48 / $4,723.00 / $11,627.00	Facility		$172.48	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $172.70 / $380.95	Professional		$167.74	$172.70	$380.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,890.11 / $4,089.29 / $7,408.79	Facility		$1,890.11	$4,089.29	$7,408.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $236.57 / $375.58	Professional		$159.41	$236.57	$375.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $185.62 / $270.27	Facility		$170.15	$185.62	$270.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.18 / $200.18 / $254.77	Professional		$200.18	$200.18	$254.77
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 $191.08 / $269.32 / $385.71	Professional		$191.08	$269.32	$385.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $217.92	Facility		$217.92	$217.92	$217.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $191.08 / $277.11 / $365.82	Professional		$191.08	$277.11	$365.82
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 $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $246.16 / $399.00	Professional		$154.38	$246.16	$399.00