Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.29 / $2,113.00 / $10,268.00	Facility		$345.29	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.77 / $326.18 / $624.77	Professional		$281.77	$326.18	$624.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.74 / $308.12 / $557.19	Professional		$217.74	$308.12	$557.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.18 / $473.24 / $579.02	Facility		$201.18	$473.24	$579.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.81 / $378.16 / $589.94	Professional		$279.81	$378.16	$589.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $165.28 / $21,571.00	Facility		$148.21	$165.28	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $412.90 / $643.96	Professional		$270.24	$412.90	$643.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $148.21 / $165.28	Facility		$148.21	$148.21	$165.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $289.25 / $395.73 / $608.34	Professional		$289.25	$395.73	$608.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $212.39 / $375.17	Professional		$36.68	$212.39	$375.17
United Facility/Professional Facility Modifier Low / Median / High Price $309.00 / $975.00 / $3,218.00	Facility		$309.00	$975.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.77 / $337.66 / $692.80	Professional		$276.77	$337.66	$692.80