Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.47 / $2,485.00 / $10,268.00	Facility		$488.47	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.55 / $329.06 / $594.46	Professional		$312.55	$329.06	$594.46
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 $298.97 / $394.45 / $645.86	Professional		$298.97	$394.45	$645.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.83 / $376.60 / $466.12	Facility		$313.83	$376.60	$466.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.21 / $345.21 / $407.98	Professional		$345.21	$345.21	$407.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.41 / $577.00 / $2,255.08	Facility		$377.41	$577.00	$2,255.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.25 / $441.65 / $671.59	Professional		$318.25	$441.65	$671.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $377.41 / $577.00 / $1,679.94	Facility		$377.41	$577.00	$1,679.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $329.52 / $461.33 / $652.32	Professional		$329.52	$461.33	$652.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.55 / $317.73 / $460.82	Professional		$40.55	$317.73	$460.82
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 $286.37 / $408.82 / $680.53	Professional		$286.37	$408.82	$680.53