Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.94 / $3,999.00 / $10,268.00	Facility		$299.94	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.41 / $295.56 / $590.73	Professional		$197.41	$295.56	$590.73
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 $186.51 / $290.50 / $554.91	Professional		$186.51	$290.50	$554.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.89 / $291.64 / $356.84	Facility		$237.89	$291.64	$356.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.20 / $341.08 / $532.08	Professional		$202.20	$341.08	$532.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $228.72 / $21,571.00	Facility		$205.11	$228.72	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $305.56 / $590.89	Professional		$192.14	$305.56	$590.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $205.11 / $205.11 / $228.72	Facility		$205.11	$205.11	$228.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $321.54 / $578.20	Professional		$196.70	$321.54	$578.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $233.40 / $374.24	Professional		$34.50	$233.40	$374.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.17 / $349.63 / $668.23	Professional		$261.17	$349.63	$668.23