Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.39 / $2,040.00 / $9,534.00	Facility		$173.39	$2,040.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $233.38 / $414.71	Professional		$91.92	$233.38	$414.71
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 $105.68 / $179.46 / $407.48	Professional		$105.68	$179.46	$407.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $109.22 / $135.19	Facility		$91.02	$109.22	$135.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $319.89 / $378.05	Professional		$113.78	$319.89	$378.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $577.00 / $2,844.48	Facility		$162.66	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $231.52 / $508.73	Professional		$103.41	$231.52	$508.73
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 $107.55 / $234.20 / $508.73	Professional		$107.55	$234.20	$508.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $280.90 / $374.08 / $520.05	Professional		$280.90	$374.08	$520.05
United Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $4,138.00 / $6,831.00	Facility		$730.00	$4,138.00	$6,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.90 / $352.54 / $617.04	Professional		$240.90	$352.54	$617.04