Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.48 / $2,113.00 / $9,534.00	Facility		$449.48	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $449.48 / $697.66	Professional		$305.33	$449.48	$697.66
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 $232.47 / $338.63 / $592.29	Professional		$232.47	$338.63	$592.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $292.36 / $330.61 / $394.69	Facility		$292.36	$330.61	$394.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.06 / $323.06 / $365.45	Professional		$323.06	$323.06	$365.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.41 / $522.47 / $657.50	Facility		$448.41	$522.47	$657.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.98 / $462.60 / $768.65	Professional		$306.98	$462.60	$768.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $448.41 / $522.47 / $600.00	Facility		$448.41	$522.47	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $313.86 / $481.63 / $767.85	Professional		$313.86	$481.63	$767.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $432.92 / $652.13	Professional		$33.81	$432.92	$652.13
United Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $3,365.00 / $6,238.00	Facility		$832.00	$3,365.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.93 / $502.94 / $903.07	Professional		$347.93	$502.94	$903.07