Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.83 / $2,849.00 / $10,268.00	Facility		$238.83	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.52 / $239.45 / $439.37	Professional		$130.52	$239.45	$439.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $225.49 / $408.13	Professional		$106.54	$225.49	$408.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $159.82 / $338.23 / $612.20	Professional	50	$159.82	$338.23	$612.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.76 / $201.99 / $623.19	Facility		$164.76	$201.99	$623.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $298.02 / $464.93	Professional		$140.05	$298.02	$464.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.66 / $459.12 / $21,571.00	Facility		$227.66	$459.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $258.11 / $483.90	Professional		$133.08	$258.11	$483.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $459.12 / $459.12 / $511.97	Facility		$459.12	$459.12	$511.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $261.58 / $475.22	Professional		$139.49	$261.58	$475.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $231.34 / $351.22	Professional		$34.50	$231.34	$351.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,474.00 / $4,951.00	Facility		$1,368.00	$2,474.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.25 / $296.26 / $585.05	Professional		$228.25	$296.26	$585.05