Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.61 / $2,849.00 / $9,534.00	Facility		$180.61	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $175.30 / $295.82	Professional		$107.26	$175.30	$295.82
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 $90.36 / $136.74 / $239.22	Professional		$90.36	$136.74	$239.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.66 / $124.39 / $153.94	Facility		$103.66	$124.39	$153.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $187.29 / $221.34	Professional		$129.58	$187.29	$221.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $491.00 / $885.00	Facility		$177.74	$491.00	$885.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $187.28 / $332.89	Professional		$116.43	$187.28	$332.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.74 / $491.00 / $885.00	Facility		$177.74	$491.00	$885.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $121.37 / $199.20 / $332.89	Professional		$121.37	$199.20	$332.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $165.79 / $241.89	Professional		$120.94	$165.79	$241.89
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 $145.80 / $200.91 / $349.27	Professional		$145.80	$200.91	$349.27