Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.41 / $2,113.00 / $9,534.00	Facility		$407.41	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $400.31 / $611.49	Professional		$279.04	$400.31	$611.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.72 / $346.83 / $579.61	Professional		$239.72	$346.83	$579.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.67 / $323.60 / $400.54	Facility		$269.67	$323.60	$400.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.56 / $427.59 / $505.34	Professional		$308.56	$427.59	$505.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $413.87 / $577.00	Facility		$366.00	$413.87	$577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.82 / $439.41 / $736.10	Professional		$293.82	$439.41	$736.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $400.00 / $577.00	Facility		$366.00	$400.00	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $307.79 / $453.02 / $736.10	Professional		$307.79	$453.02	$736.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $375.63 / $572.15	Professional		$34.34	$375.63	$572.15
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.98 / $476.59 / $839.08	Professional		$340.98	$476.59	$839.08