Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $4,723.00 / $10,635.00	Facility		$900.00	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.08 / $502.63 / $904.69	Professional		$472.08	$502.63	$904.69
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 $427.89 / $556.25 / $924.26	Professional		$427.89	$556.25	$924.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.85 / $574.62 / $711.22	Facility		$478.85	$574.62	$711.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $488.02 / $526.74 / $622.51	Professional		$488.02	$526.74	$622.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $1,935.02 / $2,837.31	Facility		$576.29	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.73 / $664.54 / $1,005.59	Professional		$447.73	$664.54	$1,005.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $1,935.02 / $2,113.67	Facility		$576.29	$1,935.02	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $478.85 / $670.40 / $989.79	Professional		$478.85	$670.40	$989.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $474.03 / $709.19	Professional		$72.25	$474.03	$709.19
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,551.00 / $5,457.00	Facility		$707.00	$2,551.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.54 / $610.05 / $1,067.19	Professional		$439.54	$610.05	$1,067.19