Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.66 / $4,886.00 / $11,581.00	Facility		$324.66	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $196.09 / $377.19	Professional		$173.40	$196.09	$377.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $2,443.00 / $8,800.00	Facility		$919.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $205.66 / $342.26	Professional		$153.11	$205.66	$342.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.69 / $225.23 / $278.77	Facility		$187.69	$225.23	$278.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $206.46 / $244.00	Professional		$172.25	$206.46	$244.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.54 / $1,935.02 / $2,837.31	Facility		$226.54	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.75 / $261.50 / $388.15	Professional		$191.75	$261.50	$388.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,935.02 / $2,423.52	Facility		$600.00	$1,935.02	$2,423.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $263.07 / $382.39	Professional		$194.62	$263.07	$382.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.26 / $189.57 / $258.13	Professional		$141.26	$189.57	$258.13
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 $164.70 / $223.94 / $387.13	Professional		$164.70	$223.94	$387.13