Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $2,181.00 / $10,268.00	Facility		$144.13	$2,181.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $197.53 / $374.18	Professional		$77.65	$197.53	$374.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,492.00 / $8,800.00	Facility		$918.00	$2,492.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $115.79 / $313.86	Professional		$72.06	$115.79	$313.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.90 / $91.08 / $112.73	Facility		$75.90	$91.08	$112.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $265.99 / $314.35	Professional		$94.88	$265.99	$314.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $577.00 / $2,844.48	Facility		$136.18	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $217.06 / $423.16	Professional		$85.09	$217.06	$423.16
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 $87.87 / $230.51 / $423.23	Professional		$87.87	$230.51	$423.23
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 $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 $196.85 / $279.93 / $499.54	Professional		$196.85	$279.93	$499.54