Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.45 / $2,113.00 / $9,534.00	Facility		$339.45	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.19 / $319.45 / $482.40	Professional		$194.19	$319.45	$482.40
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 $172.88 / $248.17 / $428.97	Professional		$172.88	$248.17	$428.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.20 / $229.44 / $283.98	Facility		$191.20	$229.44	$283.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $355.86 / $420.56	Professional		$200.43	$355.86	$420.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.74 / $382.43 / $600.00	Facility		$341.74	$382.43	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.76 / $337.41 / $559.88	Professional		$200.76	$337.41	$559.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $341.74 / $382.43 / $581.00	Facility		$341.74	$382.43	$581.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $347.81 / $559.88	Professional		$209.38	$347.81	$559.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $299.91 / $452.93	Professional		$34.50	$299.91	$452.93
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.63 / $379.37 / $689.59	Professional		$250.63	$379.37	$689.59