Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.08 / $2,475.00 / $9,504.00	Facility		$205.08	$2,475.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $189.16 / $346.89	Professional		$71.45	$189.16	$346.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $170.96 / $297.06	Professional		$90.71	$170.96	$297.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.03 / $81.64 / $101.04	Facility		$68.03	$81.64	$101.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $213.57 / $252.40	Professional		$85.04	$213.57	$252.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $577.00 / $995.93	Facility		$122.40	$577.00	$995.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $203.17 / $388.30	Professional		$81.64	$203.17	$388.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $995.93	Facility		$366.00	$577.00	$995.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $213.57 / $391.53	Professional		$81.94	$213.57	$391.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $223.28 / $311.03	Professional		$167.89	$223.28	$311.03
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 $175.16 / $248.04 / $401.55	Professional		$175.16	$248.04	$401.55