Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.13 / $2,547.00 / $10,635.00	Facility		$293.13	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.12 / $191.40 / $620.78	Professional		$177.12	$191.40	$620.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.54 / $202.44 / $367.42	Professional		$152.54	$202.44	$367.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.75 / $284.12 / $1,994.14	Facility		$231.75	$284.12	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $222.84 / $347.63	Professional		$154.88	$222.84	$347.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.12 / $1,469.12 / $21,571.00	Facility		$214.12	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.17 / $250.87 / $408.69	Professional		$172.17	$250.87	$408.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.27 / $258.50 / $362.63	Professional		$178.27	$258.50	$362.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $227.67 / $307.74	Professional		$164.96	$227.67	$307.74
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 $167.19 / $216.36 / $418.36	Professional		$167.19	$216.36	$418.36