Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.90 / $2,113.00 / $9,534.00	Facility		$202.90	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $218.41 / $433.60	Professional		$110.43	$218.41	$433.60
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 $82.29 / $204.70 / $354.45	Professional		$82.29	$204.70	$354.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.43 / $307.05 / $531.67	Professional	50	$123.43	$307.05	$531.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $167.85 / $205.38	Facility		$136.91	$167.85	$205.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $288.58 / $450.18	Professional		$116.38	$288.58	$450.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $165.28 / $21,571.00	Facility		$148.21	$165.28	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $242.40 / $442.50	Professional		$111.66	$242.40	$442.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $148.21 / $165.28	Facility		$148.21	$148.21	$165.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $242.40 / $438.58	Professional		$117.50	$242.40	$438.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $200.49 / $318.10	Professional		$32.22	$200.49	$318.10
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $266.51 / $540.26	Professional		$220.46	$266.51	$540.26