Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.23 / $2,113.00 / $9,534.00	Facility		$388.23	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.05 / $388.23 / $577.28	Professional		$266.05	$388.23	$577.28
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 $181.91 / $271.83 / $502.61	Professional		$181.91	$271.83	$502.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $252.25 / $302.70 / $374.65	Facility		$252.25	$302.70	$374.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.38 / $401.94 / $475.02	Professional		$304.38	$401.94	$475.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $451.65 / $593.66	Facility		$366.00	$451.65	$593.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.86 / $406.18 / $690.94	Professional		$264.86	$406.18	$690.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $442.26 / $581.00	Facility		$366.00	$442.26	$581.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $274.81 / $420.21 / $690.94	Professional		$274.81	$420.21	$690.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $353.57 / $548.83	Professional		$34.34	$353.57	$548.83
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,111.00 / $4,951.00	Facility		$707.00	$2,111.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.92 / $443.84 / $794.95	Professional		$309.92	$443.84	$794.95