Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $2,849.00 / $9,534.00	Facility		$293.63	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $271.52 / $460.48	Professional		$158.97	$271.52	$460.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $199.81 / $383.32	Professional		$121.22	$199.81	$383.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $190.44 / $235.72	Facility		$158.69	$190.44	$235.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.38 / $318.81 / $376.78	Professional		$198.38	$318.81	$376.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $763.40 / $1,287.90	Facility		$283.12	$763.40	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $288.23 / $513.41	Professional		$168.50	$288.23	$513.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $763.40 / $959.43	Facility		$491.00	$763.40	$959.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $174.68 / $294.31 / $503.95	Professional		$174.68	$294.31	$503.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $284.22 / $443.56	Professional		$32.34	$284.22	$443.56
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,665.00 / $5,457.00	Facility		$675.00	$2,665.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.01 / $326.10 / $578.37	Professional		$234.01	$326.10	$578.37