Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.97 / $2,451.00 / $9,504.00	Facility		$208.97	$2,451.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $208.97 / $358.32	Professional		$132.19	$208.97	$358.32
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 $122.85 / $171.25 / $284.19	Professional		$122.85	$171.25	$284.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.55 / $151.86 / $187.96	Facility		$126.55	$151.86	$187.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $217.00 / $256.45	Professional		$158.19	$217.00	$256.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.03 / $491.00 / $885.00	Facility		$206.03	$491.00	$885.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $225.85 / $386.32	Professional		$140.43	$225.85	$386.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $206.03 / $491.00 / $885.00	Facility		$206.03	$491.00	$885.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $146.57 / $236.73 / $386.32	Professional		$146.57	$236.73	$386.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.17 / $224.42 / $319.80	Professional		$155.17	$224.42	$319.80
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,551.00 / $5,457.00	Facility		$707.00	$2,551.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.87 / $241.99 / $428.08	Professional		$173.87	$241.99	$428.08