Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.32 / $3,602.00 / $10,635.00	Facility		$450.32	$3,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $305.74 / $452.57	Professional		$282.81	$305.74	$452.57
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 $354.42 / $482.58 / $756.70	Professional		$354.42	$482.58	$756.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.08 / $345.71 / $16,024.22	Facility		$288.08	$345.71	$16,024.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $318.33 / $360.11	Professional		$318.33	$318.33	$360.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $792.86 / $1,337.58	Facility		$346.31	$792.86	$1,337.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $403.78 / $608.92	Professional		$290.27	$403.78	$608.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $792.86 / $996.44	Facility		$530.00	$792.86	$996.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $409.90 / $608.92	Professional		$300.00	$409.90	$608.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $254.74 / $354.07 / $622.19	Professional		$254.74	$354.07	$622.19