Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.67 / $3,242.00 / $10,268.00	Facility		$472.67	$3,242.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $140.26 / $173.84	Professional		$98.12	$140.26	$173.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $153.72 / $223.20	Professional		$122.04	$153.72	$223.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.93 / $360.49 / $3,180.77	Facility		$135.93	$360.49	$3,180.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $2,038.95 / $3,517.19	Professional		$135.93	$2,038.95	$3,517.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $2,262.39 / $3,816.75	Facility		$163.60	$2,262.39	$3,816.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $679.76 / $679.76	Professional		$229.77	$679.76	$679.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,262.39 / $2,843.32	Facility		$530.00	$2,262.39	$2,843.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.77 / $229.77 / $679.76	Professional		$229.77	$229.77	$679.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,665.00 / $5,457.00	Facility		$675.00	$2,665.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $178.43 / $294.89	Professional		$123.60	$178.43	$294.89