Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.25 / $2,113.00 / $9,534.00	Facility		$316.25	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $316.25 / $484.09	Professional		$216.96	$316.25	$484.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.47 / $311.61 / $516.04	Professional		$222.47	$311.61	$516.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $252.89 / $313.01	Facility		$210.74	$252.89	$313.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $333.92 / $394.63	Professional		$263.43	$333.92	$394.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $577.00 / $1,337.58	Facility		$378.98	$577.00	$1,337.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $364.27 / $610.07	Professional		$235.00	$364.27	$610.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $577.00 / $996.44	Facility		$378.98	$577.00	$996.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $246.63 / $376.41 / $602.00	Professional		$246.63	$376.41	$602.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $269.92 / $415.49	Professional		$32.24	$269.92	$415.49
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.33 / $401.85 / $667.78	Professional		$286.33	$401.85	$667.78