Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.12 / $1,967.00 / $9,534.00	Facility		$269.12	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $269.12 / $478.92	Professional		$184.74	$269.12	$478.92
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 $198.49 / $260.49 / $519.79	Professional		$198.49	$260.49	$519.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.40 / $250.65 / $286.37	Facility		$189.40	$250.65	$286.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.06 / $322.43 / $350.19	Professional		$213.06	$322.43	$350.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.53 / $155.59 / $21,571.00	Facility		$139.53	$155.59	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.45 / $313.77 / $549.44	Professional		$202.45	$313.77	$549.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $139.53 / $139.53 / $155.59	Facility		$139.53	$139.53	$155.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $318.56 / $518.54	Professional		$207.52	$318.56	$518.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $301.19 / $412.64	Professional		$221.08	$301.19	$412.64
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 $244.18 / $315.45 / $599.21	Professional		$244.18	$315.45	$599.21