Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $2,113.00 / $9,534.00	Facility		$160.66	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $145.43 / $228.48	Professional		$87.68	$145.43	$228.48
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 $71.01 / $111.10 / $203.25	Professional		$71.01	$111.10	$203.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.01 / $103.21 / $127.74	Facility		$86.01	$103.21	$127.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.51 / $167.55 / $198.02	Professional		$107.51	$167.55	$198.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $248.79 / $581.00	Facility		$154.03	$248.79	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $162.63 / $294.87	Professional		$94.94	$162.63	$294.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $154.03 / $248.79 / $577.00	Facility		$154.03	$248.79	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $171.01 / $294.87	Professional		$98.91	$171.01	$294.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.27 / $241.89	Professional		$120.74	$165.27	$241.89
United Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $1,848.00 / $4,067.00	Facility		$487.00	$1,848.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $175.87 / $319.76	Professional		$127.90	$175.87	$319.76