Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.70 / $4,886.00 / $11,581.00	Facility		$304.70	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.32 / $300.20 / $592.65	Professional		$235.32	$300.20	$592.65
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 $229.62 / $292.57 / $553.03	Professional		$229.62	$292.57	$553.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.79 / $365.31 / $446.96	Facility		$213.79	$365.31	$446.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.28 / $350.60 / $546.92	Professional		$253.28	$350.60	$546.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $175.63 / $21,571.00	Facility		$157.50	$175.63	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.43 / $350.60 / $610.85	Professional		$236.43	$350.60	$610.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $157.50 / $175.63	Facility		$157.50	$157.50	$175.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $363.82 / $541.49	Professional		$240.67	$363.82	$541.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $135.29 / $372.06	Professional		$34.50	$135.29	$372.06
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,848.00 / $3,923.00	Facility		$745.00	$1,848.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $268.82 / $348.06 / $658.49	Professional		$268.82	$348.06	$658.49