Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.87 / $4,723.00 / $10,635.00	Facility		$335.87	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.66 / $192.77 / $335.87	Professional		$180.66	$192.77	$335.87
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 $150.65 / $200.28 / $330.53	Professional		$150.65	$200.28	$330.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $220.31 / $272.68	Facility		$183.59	$220.31	$272.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $201.95 / $238.67	Professional		$175.06	$201.95	$238.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $1,935.02 / $2,837.31	Facility		$221.71	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.86 / $257.02 / $381.18	Professional		$187.86	$257.02	$381.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $1,935.02 / $2,113.67	Facility		$562.00	$1,935.02	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $190.66 / $259.52 / $377.54	Professional		$190.66	$259.52	$377.54
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 $156.60 / $220.31 / $377.06	Professional		$156.60	$220.31	$377.06