Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.69 / $2,292.00 / $9,592.78	Facility		$153.69	$2,292.00	$9,592.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $153.69 / $275.10	Professional		$109.60	$153.69	$275.10
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 $99.00 / $141.78 / $236.06	Professional		$99.00	$141.78	$236.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $132.56 / $164.08	Facility		$110.47	$132.56	$164.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.67 / $159.44 / $188.44	Professional		$117.67	$159.44	$188.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $197.86 / $600.00	Facility		$139.13	$197.86	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $177.80 / $304.39	Professional		$120.65	$177.80	$304.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $204.02 / $2,563.80	Facility		$139.13	$204.02	$2,563.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.04 / $182.27 / $304.39	Professional		$127.04	$182.27	$304.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $128.85 / $188.01	Professional		$91.28	$128.85	$188.01
United Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $1,940.00 / $4,132.00	Facility		$487.00	$1,940.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $180.74 / $311.64	Professional		$133.63	$180.74	$311.64