Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.10 / $2,475.00 / $10,268.00	Facility		$235.10	$2,475.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $173.16 / $329.55	Professional		$155.33	$173.16	$329.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,059.00 / $2,550.00	Facility		$711.00	$2,059.00	$2,550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $218.86 / $356.23	Professional		$151.74	$218.86	$356.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.27 / $170.47 / $248.23	Facility		$156.27	$170.47	$248.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $183.84 / $233.98	Professional		$183.84	$183.84	$233.98
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 $175.49 / $252.62 / $357.66	Professional		$175.49	$252.62	$357.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $202.08 / $202.08 / $202.08	Facility		$202.08	$202.08	$202.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $257.24 / $346.97	Professional		$183.84	$257.24	$346.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.24 / $179.68 / $252.12	Professional		$137.24	$179.68	$252.12
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 $149.10 / $232.25 / $341.35	Professional		$149.10	$232.25	$341.35