Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.64 / $2,292.00 / $9,516.00	Facility		$202.64	$2,292.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $194.72 / $315.68	Professional		$96.54	$194.72	$315.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,769.00 / $3,943.00	Facility		$711.00	$1,769.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $169.06 / $303.32	Professional		$89.42	$169.06	$303.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.57 / $111.08 / $137.49	Facility		$92.57	$111.08	$137.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $214.30 / $253.27	Professional		$115.71	$214.30	$253.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.80 / $212.30 / $600.00	Facility		$166.80	$212.30	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $214.36 / $372.95	Professional		$106.45	$214.36	$372.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $168.92 / $212.30 / $600.00	Facility		$168.92	$212.30	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $224.00 / $373.49	Professional		$111.08	$224.00	$373.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.02 / $225.92 / $311.05	Professional		$170.02	$225.92	$311.05
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.80 / $253.99 / $432.04	Professional		$178.80	$253.99	$432.04