Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.65 / $4,723.00 / $11,627.00	Facility		$448.65	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.36 / $450.36 / $809.48	Professional		$422.36	$450.36	$809.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $7,614.00 / $14,960.03	Facility		$2,644.00	$7,614.00	$14,960.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $500.25 / $841.72	Professional		$381.00	$500.25	$841.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.63 / $513.16 / $635.14	Facility		$427.63	$513.16	$635.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.36 / $470.39 / $555.91	Professional		$387.36	$470.39	$555.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $530.00 / $1,200.00	Facility		$425.00	$530.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.44 / $592.91 / $898.03	Professional		$419.44	$592.91	$898.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $530.00 / $1,200.00	Facility		$425.00	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $427.63 / $598.69 / $884.22	Professional		$427.63	$598.69	$884.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $432.02 / $634.94	Professional		$72.25	$432.02	$634.94
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.87 / $542.67 / $986.31	Professional		$395.87	$542.67	$986.31