Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.59 / $2,113.00 / $9,534.00	Facility		$528.59	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.98 / $509.40 / $746.91	Professional		$348.98	$509.40	$746.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.52 / $456.08 / $743.68	Professional		$332.52	$456.08	$743.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.75 / $404.10 / $500.16	Facility		$336.75	$404.10	$500.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $401.76 / $547.73 / $647.32	Professional		$401.76	$547.73	$647.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $604.02 / $2,837.31	Facility		$379.00	$604.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.15 / $538.79 / $910.80	Professional		$355.15	$538.79	$910.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $577.00 / $2,113.67	Facility		$379.00	$577.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $364.36 / $549.39 / $911.12	Professional		$364.36	$549.39	$911.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $517.78 / $766.13	Professional		$34.50	$517.78	$766.13
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 $420.66 / $581.59 / $1,013.34	Professional		$420.66	$581.59	$1,013.34