Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $2,113.00 / $9,534.00	Facility		$152.77	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $167.84 / $269.99	Professional		$80.53	$167.84	$269.99
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 $56.58 / $116.84 / $233.98	Professional		$56.58	$116.84	$233.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.52 / $96.62 / $119.59	Facility		$80.52	$96.62	$119.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $201.70 / $238.37	Professional		$100.65	$201.70	$238.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $577.00 / $2,844.48	Facility		$143.87	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $174.18 / $346.00	Professional		$88.57	$174.18	$346.00
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 $89.06 / $182.81 / $348.39	Professional		$89.06	$182.81	$348.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.45 / $187.04 / $260.02	Professional		$140.45	$187.04	$260.02
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 $145.88 / $216.36 / $367.46	Professional		$145.88	$216.36	$367.46