Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.82 / $2,113.00 / $9,534.00	Facility		$289.82	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.70 / $276.38 / $449.10	Professional		$182.70	$276.38	$449.10
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 $107.72 / $172.21 / $352.69	Professional		$107.72	$172.21	$352.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.25 / $211.50 / $261.77	Facility		$176.25	$211.50	$261.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.31 / $298.89 / $353.24	Professional		$220.31	$298.89	$353.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $400.00 / $581.00	Facility		$314.44	$400.00	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $289.39 / $506.72	Professional		$184.59	$289.39	$506.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $400.00 / $577.00	Facility		$314.44	$400.00	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $298.89 / $506.72	Professional		$187.34	$298.89	$506.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $262.66 / $403.09	Professional		$34.34	$262.66	$403.09
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,111.00 / $4,951.00	Facility		$707.00	$2,111.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.28 / $323.89 / $616.17	Professional		$215.28	$323.89	$616.17