Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.54 / $2,113.00 / $9,534.00	Facility		$217.54	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $217.54 / $350.06	Professional		$138.04	$217.54	$350.06
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 $130.46 / $196.62 / $342.74	Professional		$130.46	$196.62	$342.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $157.37 / $194.78	Facility		$131.13	$157.37	$194.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.93 / $224.31 / $265.10	Professional		$163.93	$224.31	$265.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.27 / $366.00 / $581.00	Facility		$208.27	$366.00	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $240.45 / $415.32	Professional		$150.81	$240.45	$415.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $208.27 / $366.00 / $577.00	Facility		$208.27	$366.00	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.36 / $251.09 / $415.32	Professional		$157.36	$251.09	$415.32
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 $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 $198.72 / $274.08 / $469.15	Professional		$198.72	$274.08	$469.15