Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.64 / $2,113.00 / $9,534.00	Facility		$286.64	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $347.50 / $538.99	Professional		$156.13	$347.50	$538.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $259.16 / $531.51	Professional		$159.32	$259.16	$531.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $179.24 / $221.85	Facility		$149.37	$179.24	$221.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.71 / $410.33 / $484.94	Professional		$186.71	$410.33	$484.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.16 / $577.00 / $1,758.30	Facility		$269.16	$577.00	$1,758.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $329.36 / $685.19	Professional		$171.78	$329.36	$685.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $1,309.85	Facility		$366.00	$577.00	$1,309.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $176.53 / $329.36 / $671.35	Professional		$176.53	$329.36	$671.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.36 / $448.28 / $624.53	Professional		$325.36	$448.28	$624.53
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 $333.80 / $453.79 / $796.64	Professional		$333.80	$453.79	$796.64