Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.79 / $2,485.00 / $10,268.00	Facility		$713.79	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.04 / $480.02 / $863.98	Professional		$455.04	$480.02	$863.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.00 / $3,392.00 / $19,117.00	Facility		$1,069.00	$3,392.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.54 / $574.78 / $943.21	Professional		$426.54	$574.78	$943.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $464.96 / $557.95 / $690.58	Facility		$464.96	$557.95	$690.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $434.29 / $511.46 / $604.45	Professional		$434.29	$511.46	$604.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $554.52 / $4,048.28 / $5,935.99	Facility		$554.52	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.50 / $636.00 / $953.22	Professional		$432.50	$636.00	$953.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $4,048.28 / $4,422.06	Facility		$562.00	$4,048.28	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $462.10 / $650.95 / $943.75	Professional		$462.10	$650.95	$943.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $440.35 / $581.58 / $785.20	Professional		$440.35	$581.58	$785.20
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.64 / $576.90 / $1,066.77	Professional		$401.64	$576.90	$1,066.77