Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $2,113.00 / $9,534.00	Facility		$384.85	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $384.85 / $588.39	Professional		$291.75	$384.85	$588.39
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 $237.78 / $367.78 / $615.57	Professional		$237.78	$367.78	$615.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.91 / $339.49 / $420.19	Facility		$282.91	$339.49	$420.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.45 / $407.15 / $481.18	Professional		$333.45	$407.15	$481.18
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 $311.20 / $452.13 / $767.15	Professional		$311.20	$452.13	$767.15
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 $314.94 / $462.67 / $767.10	Professional		$314.94	$462.67	$767.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $352.25 / $541.88	Professional		$33.83	$352.25	$541.88
United Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $738.00 / $3,218.00	Facility		$199.00	$738.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.85 / $468.65 / $813.99	Professional		$336.85	$468.65	$813.99