Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.57 / $2,113.00 / $9,534.00	Facility		$152.57	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $277.82 / $424.83	Professional		$83.59	$277.82	$424.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,750.00 / $3,943.00	Facility		$711.00	$1,750.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $227.23 / $470.27	Professional		$80.34	$227.23	$470.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $99.19 / $122.77	Facility		$82.66	$99.19	$122.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.33 / $320.10 / $378.30	Professional		$103.33	$320.10	$378.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $265.94 / $600.00	Facility		$148.19	$265.94	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $220.14 / $543.04	Professional		$92.69	$220.14	$543.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $265.94 / $581.00	Facility		$157.63	$265.94	$581.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $208.00 / $531.34	Professional		$97.17	$208.00	$531.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $332.03 / $461.98	Professional		$244.45	$332.03	$461.98
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $359.50 / $640.61	Professional		$132.44	$359.50	$640.61