Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.02 / $1,967.00 / $9,504.00	Facility		$204.02	$1,967.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $206.82 / $384.34	Professional		$156.54	$206.82	$384.34
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 $126.23 / $174.86 / $283.49	Professional		$126.23	$174.86	$283.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.30 / $199.78 / $249.89	Facility		$157.30	$199.78	$249.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $217.15 / $276.37	Professional		$163.40	$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 $180.00 / $260.50 / $379.00	Professional		$180.00	$260.50	$379.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $302.72 / $302.72	Facility		$302.72	$302.72	$302.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.90 / $260.77 / $379.00	Professional		$186.90	$260.77	$379.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $196.34 / $276.27	Professional		$148.34	$196.34	$276.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,048.00 / $4,132.00	Facility		$1,106.00	$2,048.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.07 / $274.52 / $430.26	Professional		$172.07	$274.52	$430.26