Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $1,902.00 / $9,504.00	Facility		$121.94	$1,902.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $163.13 / $286.33	Professional		$71.73	$163.13	$286.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,386.00 / $8,800.00	Facility		$918.00	$2,386.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $109.20 / $225.62	Professional		$56.10	$109.20	$225.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $82.72 / $102.38	Facility		$68.93	$82.72	$102.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $177.28 / $209.51	Professional		$86.16	$177.28	$209.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $577.00 / $1,287.90	Facility		$123.68	$577.00	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $161.16 / $313.24	Professional		$76.19	$161.16	$313.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $959.43	Facility		$366.00	$577.00	$959.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $163.76 / $316.51	Professional		$79.27	$163.76	$316.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $186.05 / $258.90	Professional		$134.52	$186.05	$258.90
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 $135.81 / $192.02 / $322.39	Professional		$135.81	$192.02	$322.39