Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.32 / $3,862.00 / $9,863.00	Facility		$506.32	$3,862.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $519.59 / $801.44	Professional		$336.30	$519.59	$801.44
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 $283.37 / $410.49 / $694.18	Professional		$283.37	$410.49	$694.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.30 / $393.96 / $487.61	Facility		$328.30	$393.96	$487.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.02 / $542.97 / $641.69	Professional		$401.02	$542.97	$641.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $1,935.02 / $2,837.31	Facility		$581.00	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.04 / $523.00 / $891.05	Professional		$349.04	$523.00	$891.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $1,935.02 / $2,113.67	Facility		$581.00	$1,935.02	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $531.79 / $890.43	Professional		$355.00	$531.79	$890.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $480.74 / $719.54	Professional		$34.34	$480.74	$719.54
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 $415.25 / $582.99 / $1,050.59	Professional		$415.25	$582.99	$1,050.59