Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.81 / $2,306.00 / $9,516.00	Facility		$246.81	$2,306.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $194.47 / $393.72	Professional		$72.23	$194.47	$393.72
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 $41.65 / $78.09 / $289.41	Professional		$41.65	$78.09	$289.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.47 / $85.76 / $106.15	Facility		$71.47	$85.76	$106.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $268.88 / $317.77	Professional		$89.34	$268.88	$317.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $315.95 / $581.00	Facility		$128.25	$315.95	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $209.09 / $421.28	Professional		$76.18	$209.09	$421.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $262.95 / $315.95 / $562.00	Facility		$262.95	$315.95	$562.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $220.00 / $427.78	Professional		$79.20	$220.00	$427.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $295.78 / $413.05	Professional		$222.40	$295.78	$413.05
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 $191.98 / $280.02 / $499.11	Professional		$191.98	$280.02	$499.11