Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.26 / $2,040.00 / $9,534.00	Facility		$117.26	$2,040.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $385.58 / $812.00	Professional		$64.00	$385.58	$812.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.01 / $682.68	Professional		$60.26	$102.01	$682.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $74.33 / $92.00	Facility		$61.94	$74.33	$92.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $597.47 / $706.10	Professional		$77.43	$597.47	$706.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $667.89 / $1,126.77	Facility		$111.23	$667.89	$1,126.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $308.72 / $1,041.08	Professional		$70.73	$308.72	$1,041.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $667.89 / $839.39	Facility		$530.00	$667.89	$839.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $439.93 / $1,055.65	Professional		$74.33	$439.93	$1,055.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $494.95 / $661.02 / $923.13	Professional		$494.95	$661.02	$923.13
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 $475.81 / $711.36 / $1,345.60	Professional		$475.81	$711.36	$1,345.60