Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $4,723.00 / $11,627.00	Facility		$105.67	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $105.67 / $197.12	Professional		$96.91	$105.67	$197.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $335.00 / $2,012.00	Facility		$150.69	$335.00	$2,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $127.97 / $207.75	Professional		$90.20	$127.97	$207.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.29 / $121.55 / $150.44	Facility		$101.29	$121.55	$150.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $111.42 / $131.68	Professional		$111.42	$111.42	$131.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $530.00 / $1,200.00	Facility		$120.98	$530.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $144.05 / $219.11	Professional		$106.36	$144.05	$219.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $530.00 / $1,200.00	Facility		$120.98	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.63 / $147.71 / $215.32	Professional		$109.63	$147.71	$215.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.33 / $154.19 / $210.17	Professional		$115.33	$154.19	$210.17
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.96 / $130.80 / $229.47	Professional		$95.96	$130.80	$229.47