Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.92 / $2,816.00 / $9,516.00	Facility		$296.92	$2,816.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $294.92 / $469.77	Professional		$216.49	$294.92	$469.77
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 $191.14 / $275.45 / $453.08	Professional		$191.14	$275.45	$453.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.58 / $257.50 / $318.70	Facility		$214.58	$257.50	$318.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.92 / $310.27 / $366.68	Professional		$245.92	$310.27	$366.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $385.13 / $792.86 / $1,337.58	Facility		$385.13	$792.86	$1,337.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $338.52 / $544.04	Professional		$234.60	$338.52	$544.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $792.86 / $1,337.58	Facility		$491.00	$792.86	$1,337.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $246.77 / $349.73 / $544.04	Professional		$246.77	$349.73	$544.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $237.96 / $366.01	Professional		$32.24	$237.96	$366.01
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 $232.47 / $340.50 / $576.66	Professional		$232.47	$340.50	$576.66