Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.94 / $3,325.00 / $10,635.00	Facility		$283.94	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.43 / $205.97 / $430.63	Professional		$185.43	$205.97	$430.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,141.00 / $3,111.00	Facility		$772.00	$2,141.00	$3,111.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $259.54 / $422.10	Professional		$179.80	$259.54	$422.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.96 / $207.23 / $301.74	Facility		$189.96	$207.23	$301.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.48 / $223.48 / $284.42	Professional		$223.48	$223.48	$284.42
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 $213.31 / $300.25 / $421.60	Professional		$213.31	$300.25	$421.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $242.82 / $242.82	Facility		$242.82	$242.82	$242.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $302.33 / $413.69	Professional		$221.24	$302.33	$413.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.62 / $252.23 / $350.96	Professional		$192.62	$252.23	$350.96
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 $179.62 / $278.20 / $434.38	Professional		$179.62	$278.20	$434.38