Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $2,532.00 / $9,504.00	Facility		$227.41	$2,532.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $226.27 / $384.65	Professional		$161.03	$226.27	$384.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.13 / $214.82 / $355.24	Professional		$161.13	$214.82	$355.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.55 / $189.06 / $234.01	Facility		$157.55	$189.06	$234.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.94 / $236.83 / $279.89	Professional		$196.94	$236.83	$279.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.58 / $885.00 / $2,837.31	Facility		$282.58	$885.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $255.24 / $414.67	Professional		$173.30	$255.24	$414.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $2,113.67	Facility		$491.00	$885.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.18 / $259.95 / $417.42	Professional		$181.18	$259.95	$417.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.09 / $203.31 / $289.48	Professional		$153.09	$203.31	$289.48
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.22 / $269.27 / $455.29	Professional		$195.22	$269.27	$455.29