Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $2,113.00 / $9,534.00	Facility		$152.77	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $205.31 / $363.14	Professional		$81.27	$205.31	$363.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $130.04 / $335.37	Professional		$76.95	$130.04	$335.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.52 / $96.62 / $119.59	Facility		$80.52	$96.62	$119.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $281.12 / $332.23	Professional		$100.65	$281.12	$332.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.87 / $577.00 / $995.93	Facility		$143.87	$577.00	$995.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $194.84 / $442.41	Professional		$88.91	$194.84	$442.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $741.93	Facility		$366.00	$577.00	$741.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $202.24 / $442.41	Professional		$92.60	$202.24	$442.41
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 $208.44 / $293.89 / $522.74	Professional		$208.44	$293.89	$522.74