Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.19 / $2,113.00 / $9,534.00	Facility		$320.19	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $320.19 / $499.32	Professional		$211.31	$320.19	$499.32
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 $182.88 / $265.17 / $440.39	Professional		$182.88	$265.17	$440.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.49 / $242.99 / $300.75	Facility		$202.49	$242.99	$300.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.11 / $332.95 / $393.48	Professional		$253.11	$332.95	$393.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.63 / $577.00 / $2,837.31	Facility		$362.63	$577.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.98 / $341.04 / $590.16	Professional		$224.98	$341.04	$590.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $2,113.67	Facility		$366.00	$577.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $232.87 / $360.37 / $590.16	Professional		$232.87	$360.37	$590.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $283.15 / $443.56	Professional		$32.34	$283.15	$443.56
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.68 / $387.53 / $655.25	Professional		$271.68	$387.53	$655.25