Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.43 / $2,936.00 / $9,643.45	Facility		$120.43	$2,936.00	$9,643.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $120.43 / $211.85	Professional		$97.26	$120.43	$211.85
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 $79.93 / $108.86 / $209.99	Professional		$79.93	$108.86	$209.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.89 / $163.29 / $314.98	Professional	50	$119.89	$163.29	$314.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $161.19 / $197.22	Facility		$85.36	$161.19	$197.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $138.94 / $216.77	Professional		$87.87	$138.94	$216.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $70.12 / $21,571.00	Facility		$62.88	$70.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.85 / $146.54 / $274.48	Professional		$99.85	$146.54	$274.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.88 / $62.88 / $70.12	Facility		$62.88	$62.88	$70.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $146.54 / $231.78	Professional		$101.14	$146.54	$231.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $112.43 / $154.20	Professional		$82.48	$112.43	$154.20
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 $101.32 / $131.62 / $266.62	Professional		$101.32	$131.62	$266.62