Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.48 / $2,785.00 / $9,504.00	Facility		$197.48	$2,785.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $679.05 / $1,683.43	Professional		$116.17	$679.05	$1,683.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $954.75 / $1,638.05	Professional		$143.27	$954.75	$1,638.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.19 / $134.63 / $166.63	Facility		$112.19	$134.63	$166.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.24 / $1,173.95 / $1,387.40	Professional		$140.24	$1,173.95	$1,387.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $530.00 / $1,200.00	Facility		$202.58	$530.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $320.80 / $1,884.44	Professional		$129.01	$320.80	$1,884.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $530.00 / $600.00	Facility		$202.58	$530.00	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.62 / $312.00 / $1,899.93	Professional		$134.62	$312.00	$1,899.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $962.66 / $1,285.26 / $1,795.26	Professional		$962.66	$1,285.26	$1,795.26
United Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $1,848.00 / $4,067.00	Facility		$487.00	$1,848.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.13 / $1,290.54 / $2,255.98	Professional		$914.13	$1,290.54	$2,255.98