Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.94 / $2,485.00 / $10,268.00	Facility		$604.94	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.12 / $408.06 / $731.87	Professional		$383.12	$408.06	$731.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.23 / $411.09 / $696.42	Professional		$288.23	$411.09	$696.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.63 / $465.40 / $576.03	Facility		$362.63	$465.40	$576.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $426.61 / $504.18	Professional		$315.04	$426.61	$504.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $179.89 / $600.00	Facility		$149.71	$179.89	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.61 / $523.57 / $806.10	Professional		$366.61	$523.57	$806.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $179.89 / $466.67	Facility		$50.00	$179.89	$466.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $381.51 / $542.96 / $799.44	Professional		$381.51	$542.96	$799.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $384.80 / $589.07	Professional		$66.72	$384.80	$589.07
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $468.22 / $829.90	Professional		$338.66	$468.22	$829.90