Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.16 / $3,999.00 / $10,268.00	Facility		$380.16	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $357.10 / $593.04	Professional		$224.26	$357.10	$593.04
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 $201.08 / $285.52 / $495.03	Professional		$201.08	$285.52	$495.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.88 / $263.86 / $326.57	Facility		$219.88	$263.86	$326.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.85 / $392.60 / $463.98	Professional		$274.85	$392.60	$463.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $1,935.02 / $2,837.31	Facility		$393.87	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $374.50 / $643.16	Professional		$239.16	$374.50	$643.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $1,935.02 / $2,113.67	Facility		$562.00	$1,935.02	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $252.02 / $398.97 / $649.95	Professional		$252.02	$398.97	$649.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $311.61 / $493.23	Professional		$32.34	$311.61	$493.23
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 $289.00 / $403.51 / $718.85	Professional		$289.00	$403.51	$718.85