Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.87 / $2,113.00 / $9,534.00	Facility		$139.87	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $139.87 / $225.31	Professional		$101.83	$139.87	$225.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $132.38 / $224.22	Professional		$89.77	$132.38	$224.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.29 / $120.35 / $148.96	Facility		$100.29	$120.35	$148.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $149.22 / $176.35	Professional		$125.36	$149.22	$176.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $366.00 / $581.00	Facility		$131.97	$366.00	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $167.25 / $295.00	Professional		$113.05	$167.25	$295.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $131.97 / $366.00 / $577.00	Facility		$131.97	$366.00	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $174.99 / $294.13	Professional		$117.22	$174.99	$294.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $129.19 / $188.01	Professional		$91.99	$129.19	$188.01
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $177.54 / $314.07	Professional		$127.60	$177.54	$314.07