Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.55 / $2,113.00 / $9,534.00	Facility		$171.55	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $185.63 / $282.44	Professional		$95.95	$185.63	$282.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,550.00 / $8,800.00	Facility		$918.00	$2,550.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $133.18 / $263.24	Professional		$63.92	$133.18	$263.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.77 / $114.92 / $142.24	Facility		$95.77	$114.92	$142.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $211.98 / $250.52	Professional		$119.71	$211.98	$250.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $577.00 / $2,844.48	Facility		$171.25	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $188.09 / $356.18	Professional		$100.79	$188.09	$356.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $2,119.01	Facility		$366.00	$577.00	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $192.68 / $350.66	Professional		$105.12	$192.68	$350.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $225.92 / $311.05	Professional		$167.71	$225.92	$311.05
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.07 / $224.84 / $384.72	Professional		$153.07	$224.84	$384.72