Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.67 / $2,040.00 / $9,534.00	Facility		$206.67	$2,040.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $201.53 / $307.32	Professional		$114.44	$201.53	$307.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $156.96 / $284.77	Professional		$104.69	$156.96	$284.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $137.21 / $169.83	Facility		$114.34	$137.21	$169.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.93 / $213.29 / $252.07	Professional		$142.93	$213.29	$252.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.52 / $577.00 / $2,837.31	Facility		$204.52	$577.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $203.60 / $365.65	Professional		$125.50	$203.60	$365.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $2,113.67	Facility		$366.00	$577.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $209.26 / $370.00	Professional		$129.77	$209.26	$370.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.21 / $201.51 / $293.63	Professional		$150.21	$201.51	$293.63
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,551.00 / $5,457.00	Facility		$707.00	$2,551.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $228.93 / $409.34	Professional		$166.52	$228.93	$409.34