Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.71 / $2,849.00 / $9,504.00	Facility		$240.71	$2,849.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $240.71 / $387.38	Professional		$156.88	$240.71	$387.38
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 $152.88 / $216.24 / $359.71	Professional		$152.88	$216.24	$359.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $181.48 / $224.61	Facility		$151.22	$181.48	$224.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $253.23 / $299.27	Professional		$189.04	$253.23	$299.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.50 / $491.00 / $885.00	Facility		$232.50	$491.00	$885.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $271.82 / $469.51	Professional		$173.92	$271.82	$469.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $232.50 / $491.00 / $885.00	Facility		$232.50	$491.00	$885.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.48 / $280.85 / $468.08	Professional		$181.48	$280.85	$468.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $202.65 / $317.56	Professional		$32.34	$202.65	$317.56
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 $212.39 / $306.50 / $526.20	Professional		$212.39	$306.50	$526.20