Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.85 / $3,983.00 / $10,268.00	Facility		$377.85	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.32 / $377.85 / $641.80	Professional		$277.32	$377.85	$641.80
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 $245.94 / $348.52 / $568.29	Professional		$245.94	$348.52	$568.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.01 / $345.81 / $518.72	Facility		$266.01	$345.81	$518.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.94 / $446.33 / $696.27	Professional		$293.94	$446.33	$696.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.27 / $1,935.02 / $2,837.31	Facility		$476.27	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.50 / $419.32 / $682.64	Professional		$287.50	$419.32	$682.64
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 $294.95 / $429.95 / $692.51	Professional		$294.95	$429.95	$692.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $342.39 / $523.79	Professional		$34.34	$342.39	$523.79
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 $329.27 / $448.60 / $793.98	Professional		$329.27	$448.60	$793.98