Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $2,785.00 / $9,516.00	Facility		$296.27	$2,785.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.43 / $253.59 / $440.55	Professional		$153.43	$253.59	$440.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.02 / $210.99 / $387.19	Professional		$131.02	$210.99	$387.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.59 / $183.11 / $226.64	Facility		$152.59	$183.11	$226.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $304.63 / $360.02	Professional		$190.74	$304.63	$360.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $885.00 / $2,837.31	Facility		$272.91	$885.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.81 / $273.23 / $493.20	Professional		$165.81	$273.23	$493.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $2,113.67	Facility		$491.00	$885.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $279.61 / $490.14	Professional		$170.01	$279.61	$490.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $245.89 / $394.63	Professional		$32.34	$245.89	$394.63
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 $217.62 / $309.12 / $557.05	Professional		$217.62	$309.12	$557.05