Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $2,006.00 / $9,516.00	Facility		$219.98	$2,006.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $209.91 / $377.87	Professional		$127.19	$209.91	$377.87
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 $104.06 / $161.90 / $289.42	Professional		$104.06	$161.90	$289.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $145.00 / $179.46	Facility		$120.83	$145.00	$179.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $226.59 / $267.79	Professional		$151.04	$226.59	$267.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $366.00 / $581.00	Facility		$216.48	$366.00	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $225.26 / $396.85	Professional		$133.88	$225.26	$396.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $366.00 / $577.00	Facility		$216.48	$366.00	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $238.43 / $397.71	Professional		$140.28	$238.43	$397.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $196.76 / $306.85	Professional		$34.34	$196.76	$306.85
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,467.58 / $4,951.00	Facility		$707.00	$2,467.58	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.35 / $244.90 / $437.48	Professional		$177.35	$244.90	$437.48