Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.18 / $3,999.00 / $10,268.00	Facility		$417.18	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.29 / $394.97 / $625.00	Professional		$255.29	$394.97	$625.00
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 $215.47 / $322.67 / $551.08	Professional		$215.47	$322.67	$551.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.00 / $298.80 / $369.83	Facility		$249.00	$298.80	$369.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.25 / $431.44 / $509.89	Professional		$311.25	$431.44	$509.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.97 / $446.22 / $700.00	Facility		$403.97	$446.22	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.36 / $411.83 / $714.88	Professional		$270.36	$411.83	$714.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $403.97 / $441.27 / $592.35	Facility		$403.97	$441.27	$592.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $279.98 / $433.21 / $717.45	Professional		$279.98	$433.21	$717.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $377.45 / $572.15	Professional		$34.50	$377.45	$572.15
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 $320.95 / $450.24 / $789.36	Professional		$320.95	$450.24	$789.36