Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.17 / $2,485.00 / $10,268.00	Facility		$189.17	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $104.45 / $189.17	Professional		$94.37	$104.45	$189.17
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 $69.63 / $111.99 / $183.55	Professional		$69.63	$111.99	$183.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.98 / $118.78 / $147.01	Facility		$98.98	$118.78	$147.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $108.88 / $128.66	Professional		$96.82	$108.88	$128.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $577.00 / $2,844.48	Facility		$117.31	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $140.00 / $238.36	Professional		$98.98	$140.00	$238.36
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 $103.92 / $140.10 / $247.15	Professional		$103.92	$140.10	$247.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $116.32 / $156.91	Professional		$86.55	$116.32	$156.91
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 $85.78 / $124.96 / $222.46	Professional		$85.78	$124.96	$222.46