Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.18 / $2,485.00 / $10,268.00	Facility		$192.18	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $106.46 / $192.18	Professional		$99.23	$106.46	$192.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,931.00 / $3,943.00	Facility		$777.00	$1,931.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $129.82 / $206.83	Professional		$95.33	$129.82	$206.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.22 / $119.06 / $147.37	Facility		$99.22	$119.06	$147.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.14 / $109.14 / $128.99	Professional		$109.14	$109.14	$128.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $577.00 / $1,024.26	Facility		$120.58	$577.00	$1,024.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $151.91 / $218.29	Professional		$107.63	$151.91	$218.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $763.03	Facility		$366.00	$577.00	$763.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $153.79 / $218.29	Professional		$108.83	$153.79	$218.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $116.32 / $156.91	Professional		$87.01	$116.32	$156.91
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 $95.40 / $132.47 / $225.25	Professional		$95.40	$132.47	$225.25