Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.60 / $2,485.00 / $10,268.00	Facility		$647.60	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.31 / $455.29 / $803.08	Professional		$419.31	$455.29	$803.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.53 / $497.09 / $838.09	Professional		$363.53	$497.09	$838.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $415.23 / $498.28 / $616.72	Facility		$415.23	$498.28	$616.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.13 / $456.75 / $539.79	Professional		$355.13	$456.75	$539.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $577.00 / $2,837.31	Facility		$379.00	$577.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.56 / $539.80 / $871.99	Professional		$369.56	$539.80	$871.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $577.00 / $2,113.67	Facility		$379.00	$577.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $379.90 / $562.22 / $830.47	Professional		$379.90	$562.22	$830.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $416.93 / $643.02	Professional		$34.50	$416.93	$643.02
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 $368.69 / $507.60 / $893.04	Professional		$368.69	$507.60	$893.04