Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.15 / $2,113.00 / $9,534.00	Facility		$194.15	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $205.96 / $304.97	Professional		$103.49	$205.96	$304.97
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 $82.83 / $161.22 / $292.64	Professional		$82.83	$161.22	$292.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.22 / $121.46 / $150.34	Facility		$101.22	$121.46	$150.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $226.41 / $267.58	Professional		$126.53	$226.41	$267.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.95 / $577.00 / $1,287.90	Facility		$180.95	$577.00	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $202.84 / $378.75	Professional		$111.34	$202.84	$378.75
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 $116.40 / $208.00 / $378.75	Professional		$116.40	$208.00	$378.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $264.59 / $365.37	Professional		$198.24	$264.59	$365.37
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 $169.48 / $240.67 / $412.03	Professional		$169.48	$240.67	$412.03