Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.11 / $2,113.00 / $10,268.00	Facility		$212.11	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $196.21 / $371.72	Professional		$121.34	$196.21	$371.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $190.56 / $370.87	Professional		$104.77	$190.56	$370.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.15 / $285.83 / $556.29	Professional	50	$157.15	$285.83	$556.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.26 / $194.03 / $237.39	Facility		$158.26	$194.03	$237.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $243.16 / $379.34	Professional		$134.52	$243.16	$379.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.04 / $150.59 / $21,571.00	Facility		$135.04	$150.59	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $217.20 / $409.14	Professional		$127.83	$217.20	$409.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $135.04 / $135.04 / $150.59	Facility		$135.04	$135.04	$150.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.99 / $227.47 / $398.08	Professional		$134.99	$227.47	$398.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.33 / $224.06 / $317.10	Professional		$155.33	$224.06	$317.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,721.00 / $5,268.00	Facility		$1,689.00	$2,721.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $238.74 / $454.61	Professional		$187.31	$238.74	$454.61