Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.87 / $2,113.00 / $9,534.00	Facility		$237.87	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $261.33 / $405.48	Professional		$129.25	$261.33	$405.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.49 / $229.30 / $404.78	Professional		$163.49	$229.30	$404.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.35 / $149.22 / $184.69	Facility		$124.35	$149.22	$184.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $300.48 / $359.59	Professional		$155.44	$300.48	$359.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $1,042.24 / $1,758.30	Facility		$224.04	$1,042.24	$1,758.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $286.00 / $532.97	Professional		$139.09	$286.00	$532.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,042.24 / $1,309.85	Facility		$530.00	$1,042.24	$1,309.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $286.04 / $531.41	Professional		$143.00	$286.04	$531.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.80 / $301.58 / $417.45	Professional		$225.80	$301.58	$417.45
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 $241.02 / $352.52 / $567.69	Professional		$241.02	$352.52	$567.69