Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.30 / $2,485.00 / $9,516.00	Facility		$679.30	$2,485.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $857.61 / $1,583.81	Professional		$363.33	$857.61	$1,583.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.08 / $886.34 / $4,159.03	Professional		$378.08	$886.34	$4,159.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.26 / $515.09 / $515.09	Facility		$324.26	$515.09	$515.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $876.78 / $876.78 / $1,391.18	Professional		$876.78	$876.78	$1,391.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $883.24 / $1,490.07	Facility		$530.00	$883.24	$1,490.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.38 / $741.22 / $3,060.72	Professional		$373.38	$741.22	$3,060.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $883.24 / $1,110.04	Facility		$530.00	$883.24	$1,110.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $381.48 / $742.02 / $2,846.82	Professional		$381.48	$742.02	$2,846.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $781.06 / $1,042.99 / $1,445.67	Professional		$781.06	$1,042.99	$1,445.67
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 $826.97 / $1,306.76 / $3,538.80	Professional		$826.97	$1,306.76	$3,538.80