Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.94 / $3,278.00 / $10,268.00	Facility		$221.94	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $155.22 / $277.60	Professional		$143.13	$155.22	$277.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,051.00 / $14,996.00	Facility		$919.00	$3,051.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $185.45 / $306.48	Professional		$146.10	$185.45	$306.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.37 / $160.83 / $193.55	Facility		$143.37	$160.83	$193.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $158.41 / $179.21	Professional		$158.41	$158.41	$179.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.15 / $1,354.35 / $2,284.85	Facility		$172.15	$1,354.35	$2,284.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.43 / $215.10 / $315.70	Professional		$155.43	$215.10	$315.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,354.35 / $1,702.11	Facility		$530.00	$1,354.35	$1,702.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $155.43 / $219.07 / $315.70	Professional		$155.43	$219.07	$315.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $155.81 / $209.59	Professional		$107.97	$155.81	$209.59
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 $136.19 / $192.29 / $321.69	Professional		$136.19	$192.29	$321.69