Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.57 / $5,135.00 / $10,817.74	Facility		$258.57	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $187.08 / $380.58	Professional		$168.87	$187.08	$380.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $2,170.00 / $5,211.00	Facility		$891.00	$2,170.00	$5,211.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $239.50 / $386.03	Professional		$161.19	$239.50	$386.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $188.21 / $274.06	Facility		$172.52	$188.21	$274.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $258.33	Professional		$202.97	$202.97	$258.33
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 $193.74 / $268.45 / $366.53	Professional		$193.74	$268.45	$366.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $221.10 / $221.10	Facility		$221.10	$221.10	$221.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $193.74 / $271.24 / $363.29	Professional		$193.74	$271.24	$363.29
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 $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $245.78 / $373.59	Professional		$157.59	$245.78	$373.59