Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.10 / $3,651.87 / $10,268.00	Facility		$1,273.10	$3,651.87	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $377.78 / $440.46	Professional		$247.34	$377.78	$440.46
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 $87.04 / $179.01 / $242.46	Professional		$87.04	$179.01	$242.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.44 / $902.85 / $8,425.89	Facility		$340.44	$902.85	$8,425.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.44 / $5,106.60 / $8,808.89	Professional		$340.44	$5,106.60	$8,808.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $1,042.24 / $1,758.30	Facility		$440.62	$1,042.24	$1,758.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.87 / $1,833.48 / $1,833.48	Professional		$618.87	$1,833.48	$1,833.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,042.24 / $1,309.85	Facility		$530.00	$1,042.24	$1,309.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $618.87 / $618.87 / $1,833.48	Professional		$618.87	$618.87	$1,833.48
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 Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $478.45 / $798.02	Professional		$340.00	$478.45	$798.02