Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.13 / $2,547.00 / $10,268.00	Facility		$223.13	$2,547.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $123.17 / $223.13	Professional		$112.80	$123.17	$223.13
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 $63.47 / $85.88 / $141.91	Professional		$63.47	$85.88	$141.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $170.89 / $16,024.22	Facility		$117.36	$170.89	$16,024.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $126.57 / $149.58	Professional		$126.57	$126.57	$149.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $792.86 / $1,337.58	Facility		$138.16	$792.86	$1,337.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $166.84 / $289.08	Professional		$119.83	$166.84	$289.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $792.86 / $996.44	Facility		$530.00	$792.86	$996.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $172.73 / $289.08	Professional		$122.90	$172.73	$289.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $102.61 / $146.59 / $249.06	Professional		$102.61	$146.59	$249.06