Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.37 / $2,006.00 / $9,516.00	Facility		$345.37	$2,006.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $389.12 / $682.91	Professional		$126.35	$389.12	$682.91
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 $103.49 / $209.19 / $563.96	Professional		$103.49	$209.19	$563.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.16 / $146.59 / $181.43	Facility		$122.16	$146.59	$181.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.69 / $430.97 / $509.33	Professional		$152.69	$430.97	$509.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $577.00 / $2,844.48	Facility		$219.22	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $348.85 / $731.39	Professional		$136.12	$348.85	$731.39
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 $140.47 / $383.95 / $736.48	Professional		$140.47	$383.95	$736.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $396.61 / $600.96	Professional		$34.34	$396.61	$600.96
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 $351.17 / $486.71 / $825.56	Professional		$351.17	$486.71	$825.56