Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.34 / $2,113.00 / $9,534.00	Facility		$340.34	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.81 / $326.06 / $487.74	Professional		$216.81	$326.06	$487.74
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 $179.70 / $276.91 / $472.15	Professional		$179.70	$276.91	$472.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.82 / $236.21 / $281.66	Facility		$210.82	$236.21	$281.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.96 / $232.96 / $263.52	Professional		$232.96	$232.96	$263.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.06 / $377.60 / $600.00	Facility		$311.06	$377.60	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.91 / $350.00 / $588.15	Professional		$231.91	$350.00	$588.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $311.06 / $377.60 / $581.00	Facility		$311.06	$377.60	$581.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $373.93 / $585.55	Professional		$242.45	$373.93	$585.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $333.57 / $497.16	Professional		$33.81	$333.57	$497.16
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 $271.94 / $383.69 / $691.50	Professional		$271.94	$383.69	$691.50