Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.41 / $2,113.00 / $10,268.00	Facility		$242.41	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.13 / $242.41 / $470.03	Professional		$196.13	$242.41	$470.03
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 $155.81 / $226.37 / $419.36	Professional		$155.81	$226.37	$419.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.68 / $323.63 / $395.97	Facility		$155.68	$323.63	$395.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.32 / $283.66 / $442.52	Professional		$218.32	$283.66	$442.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.68 / $127.89 / $21,571.00	Facility		$114.68	$127.89	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.62 / $294.44 / $484.47	Professional		$199.62	$294.44	$484.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $114.68 / $114.68 / $127.89	Facility		$114.68	$114.68	$127.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $203.14 / $295.01 / $457.42	Professional		$203.14	$295.01	$457.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.53 / $234.63 / $347.65	Professional		$158.53	$234.63	$347.65
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 $206.89 / $262.23 / $522.85	Professional		$206.89	$262.23	$522.85