Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.44 / $2,664.00 / $9,504.00	Facility		$238.44	$2,664.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.32 / $225.28 / $398.07	Professional		$170.32	$225.28	$398.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,150.00 / $3,943.00	Facility		$1,051.00	$2,150.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $200.48 / $319.31	Professional		$147.72	$200.48	$319.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.41 / $216.42 / $270.69	Facility		$170.41	$216.42	$270.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.09 / $263.04 / $334.78	Professional		$204.09	$263.04	$334.78
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 $204.43 / $291.68 / $434.97	Professional		$204.43	$291.68	$434.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $327.19 / $1,030.66	Facility		$327.19	$327.19	$1,030.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $206.26 / $298.06 / $440.77	Professional		$206.26	$298.06	$440.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $238.67 / $354.81	Professional		$157.61	$238.67	$354.81
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 $192.85 / $288.61 / $461.66	Professional		$192.85	$288.61	$461.66