Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.91 / $1,200.00 / $2,258.00	Facility		$348.91	$1,200.00	$2,258.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.05 / $355.12 / $1,407.08	Professional		$253.05	$355.12	$1,407.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $1,606.00 / $3,117.00	Facility		$802.00	$1,606.00	$3,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $363.32 / $570.42	Professional		$285.86	$363.32	$570.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.05 / $3,512.35 / $7,781.21	Facility		$339.05	$3,512.35	$7,781.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.05 / $3,588.75 / $8,753.85	Professional		$339.05	$3,588.75	$8,753.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.80 / $419.80 / $1,822.05	Facility		$419.80	$419.80	$1,822.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $1,755.54 / $1,755.54	Professional		$592.04	$1,755.54	$1,755.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $419.80 / $700.00 / $1,822.05	Facility		$419.80	$700.00	$1,822.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $592.04 / $1,755.54	Professional		$0.66	$592.04	$1,755.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.69 / $432.25 / $767.24	Professional		$315.69	$432.25	$767.24