Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.75 / $2,113.00 / $9,534.00	Facility		$252.75	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $246.69 / $370.85	Professional		$174.29	$246.69	$370.85
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 $148.81 / $214.18 / $350.91	Professional		$148.81	$214.18	$350.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.89 / $202.67 / $250.85	Facility		$168.89	$202.67	$250.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.69 / $261.62 / $309.19	Professional		$209.69	$261.62	$309.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.79 / $400.00 / $577.00	Facility		$302.79	$400.00	$577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.78 / $274.83 / $466.88	Professional		$185.78	$274.83	$466.88
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 $194.22 / $285.41 / $466.88	Professional		$194.22	$285.41	$466.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $204.02 / $317.82	Professional		$32.24	$204.02	$317.82
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 $216.05 / $295.42 / $507.86	Professional		$216.05	$295.42	$507.86