Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.74 / $2,849.00 / $9,534.00	Facility		$515.74	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.65 / $472.42 / $701.58	Professional		$334.65	$472.42	$701.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $429.75 / $708.18	Professional		$321.75	$429.75	$708.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.35 / $422.96 / $634.44	Facility		$325.35	$422.96	$634.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.43 / $606.33 / $945.87	Professional		$392.43	$606.33	$945.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,837.31	Facility		$508.00	$885.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.91 / $528.80 / $899.98	Professional		$342.91	$528.80	$899.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,113.67	Facility		$508.00	$885.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $536.82 / $898.35	Professional		$355.00	$536.82	$898.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $489.38 / $763.21	Professional		$32.36	$489.38	$763.21
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,467.58 / $4,951.00	Facility		$707.00	$2,467.58	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.49 / $549.29 / $996.04	Professional		$411.49	$549.29	$996.04