Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.24 / $2,113.00 / $10,268.00	Facility		$292.24	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.44 / $315.92 / $820.76	Professional		$252.44	$315.92	$820.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,541.00 / $14,996.00	Facility		$1,712.00	$3,541.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.42 / $522.21 / $843.36	Professional		$307.42	$522.21	$843.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.81 / $372.87 / $456.23	Facility		$202.81	$372.87	$456.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $337.01 / $525.74	Professional		$258.52	$337.01	$525.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $166.62 / $21,571.00	Facility		$149.41	$166.62	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.46 / $378.00 / $884.75	Professional		$241.46	$378.00	$884.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $166.62	Facility		$149.41	$149.41	$166.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $244.05 / $380.17 / $891.02	Professional		$244.05	$380.17	$891.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.33 / $298.72 / $421.67	Professional		$216.33	$298.72	$421.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $400.28 / $722.54	Professional		$266.13	$400.28	$722.54