Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.15 / $2,547.00 / $9,687.94	Facility		$227.15	$2,547.00	$9,687.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $227.15 / $386.15	Professional		$159.43	$227.15	$386.15
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 $119.17 / $192.96 / $331.07	Professional		$119.17	$192.96	$331.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.62 / $186.74 / $231.14	Facility		$155.62	$186.74	$231.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $236.34 / $279.31	Professional		$175.32	$236.34	$279.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.64 / $279.22 / $581.00	Facility		$200.64	$279.22	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.95 / $254.17 / $422.74	Professional		$169.95	$254.17	$422.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $200.64 / $219.17 / $562.00	Facility		$200.64	$219.17	$562.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $263.43 / $418.67	Professional		$178.96	$263.43	$418.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $225.92 / $311.05	Professional		$167.71	$225.92	$311.05
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,665.00 / $5,457.00	Facility		$675.00	$2,665.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.48 / $272.77 / $461.23	Professional		$194.48	$272.77	$461.23