Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.06 / $2,218.00 / $11,581.00	Facility		$210.06	$2,218.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $203.86 / $322.45	Professional		$117.61	$203.86	$322.45
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 $108.15 / $159.93 / $279.52	Professional		$108.15	$159.93	$279.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.72 / $136.46 / $168.91	Facility		$113.72	$136.46	$168.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.15 / $217.47 / $257.01	Professional		$142.15	$217.47	$257.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $233.45 / $581.00	Facility		$203.80	$233.45	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.78 / $217.47 / $380.00	Professional		$128.78	$217.47	$380.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $233.45 / $562.00	Facility		$203.80	$233.45	$562.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $227.44 / $380.00	Professional		$134.28	$227.44	$380.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.21 / $201.51 / $293.63	Professional		$150.21	$201.51	$293.63
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 $174.81 / $249.96 / $424.79	Professional		$174.81	$249.96	$424.79