Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.56 / $6,845.00 / $11,679.00	Facility		$361.56	$6,845.00	$11,679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.59 / $343.21 / $542.44	Professional		$209.59	$343.21	$542.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.00 / $2,443.00 / $8,800.00	Facility		$995.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $269.85 / $468.86	Professional		$188.65	$269.85	$468.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.37 / $246.44 / $305.02	Facility		$205.37	$246.44	$305.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.70 / $373.07 / $440.90	Professional		$256.70	$373.07	$440.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $1,935.02 / $2,837.31	Facility		$367.72	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.39 / $340.72 / $595.14	Professional		$223.39	$340.72	$595.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,935.02 / $2,113.67	Facility		$600.00	$1,935.02	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $226.45 / $356.03 / $594.00	Professional		$226.45	$356.03	$594.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $311.61 / $492.15	Professional		$32.34	$311.61	$492.15
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 $272.89 / $383.14 / $677.77	Professional		$272.89	$383.14	$677.77