Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.40 / $2,113.00 / $9,534.00	Facility		$169.40	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.30 / $166.50 / $251.90	Professional		$106.30	$166.50	$251.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $141.11 / $242.02	Professional		$101.94	$141.11	$242.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.86 / $122.23 / $151.29	Facility		$101.86	$122.23	$151.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.33 / $176.88 / $209.04	Professional		$127.33	$176.88	$209.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.71 / $165.47 / $232.32	Facility		$137.71	$165.47	$232.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $176.88 / $306.81	Professional		$112.05	$176.88	$306.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $165.47 / $232.32	Facility		$50.00	$165.47	$232.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $188.13 / $306.81	Professional		$117.14	$188.13	$306.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $185.45 / $279.69	Professional		$122.30	$185.45	$279.69
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $201.67 / $377.88	Professional		$142.81	$201.67	$377.88