Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.62 / $2,113.00 / $9,534.00	Facility		$191.62	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $201.86 / $299.70	Professional		$102.48	$201.86	$299.70
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 $95.77 / $184.92 / $300.39	Professional		$95.77	$184.92	$300.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $120.68 / $149.37	Facility		$100.57	$120.68	$149.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.71 / $221.49 / $261.76	Professional		$125.71	$221.49	$261.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.75 / $577.00 / $2,844.48	Facility		$179.75	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $202.54 / $373.96	Professional		$110.71	$202.54	$373.96
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 $115.66 / $204.44 / $371.65	Professional		$115.66	$204.44	$371.65
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 $168.39 / $239.89 / $405.70	Professional		$168.39	$239.89	$405.70