Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.98 / $4,886.00 / $9,252.42	Facility		$369.98	$4,886.00	$9,252.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $232.81 / $668.75	Professional		$197.75	$232.81	$668.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $2,674.00 / $8,800.00	Facility		$919.00	$2,674.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.18 / $219.27 / $362.71	Professional		$167.18	$219.27	$362.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.59 / $241.91 / $299.42	Facility		$201.59	$241.91	$299.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.76 / $221.75 / $262.07	Professional		$187.76	$221.75	$262.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $1,935.02 / $2,837.31	Facility		$242.90	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $282.23 / $420.19	Professional		$207.43	$282.23	$420.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $1,935.02 / $2,996.46	Facility		$694.00	$1,935.02	$2,996.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $210.53 / $286.42 / $417.54	Professional		$210.53	$286.42	$417.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $205.07 / $287.57	Professional		$153.29	$205.07	$287.57
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 $171.78 / $246.71 / $413.42	Professional		$171.78	$246.71	$413.42