Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.85 / $2,113.00 / $10,268.00	Facility		$227.85	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $253.60 / $515.23	Professional		$124.39	$253.60	$515.23
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 $110.16 / $237.53 / $429.92	Professional		$110.16	$237.53	$429.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.83 / $193.50 / $275.95	Facility		$157.83	$193.50	$275.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $326.73 / $509.69	Professional		$134.16	$326.73	$509.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.31 / $218.19 / $21,571.00	Facility		$203.31	$218.19	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $277.73 / $496.67	Professional		$127.48	$277.73	$496.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $203.31 / $203.31 / $226.72	Facility		$203.31	$203.31	$226.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $133.62 / $274.45 / $488.15	Professional		$133.62	$274.45	$488.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $248.12 / $394.63	Professional		$34.50	$248.12	$394.63
United Facility/Professional Facility Modifier Low / Median / High Price $718.30 / $2,072.00 / $4,831.00	Facility		$718.30	$2,072.00	$4,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.62 / $314.52 / $611.91	Professional		$248.62	$314.52	$611.91