Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $2,113.00 / $9,534.00	Facility		$164.87	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $164.87 / $257.20	Professional		$130.88	$164.87	$257.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $152.04 / $252.29	Professional		$104.34	$152.04	$252.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.38 / $151.66 / $187.71	Facility		$126.38	$151.66	$187.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.54 / $172.40 / $203.75	Professional		$157.54	$172.40	$203.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.65 / $400.00 / $577.00	Facility		$226.65	$400.00	$577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.36 / $196.03 / $322.18	Professional		$134.36	$196.03	$322.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $329.31 / $400.00 / $577.00	Facility		$329.31	$400.00	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $201.24 / $322.18	Professional		$142.36	$201.24	$322.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $168.40 / $239.29	Professional		$120.97	$168.40	$239.29
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 $144.07 / $195.39 / $345.64	Professional		$144.07	$195.39	$345.64