Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.40 / $2,849.00 / $9,534.00	Facility		$348.40	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $348.40 / $537.19	Professional		$257.45	$348.40	$537.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.21 / $317.33 / $537.73	Professional		$229.21	$317.33	$537.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.05 / $296.45 / $366.94	Facility		$247.05	$296.45	$366.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.60 / $364.13 / $430.34	Professional		$267.60	$364.13	$430.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.02 / $885.00 / $2,837.31	Facility		$443.02	$885.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.50 / $399.83 / $653.19	Professional		$273.50	$399.83	$653.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $2,113.67	Facility		$491.00	$885.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $284.10 / $413.79 / $653.19	Professional		$284.10	$413.79	$653.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $301.48 / $466.34	Professional		$32.24	$301.48	$466.34
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 $300.26 / $417.13 / $729.81	Professional		$300.26	$417.13	$729.81