Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.00 / $3,278.00 / $10,268.00	Facility		$609.00	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.71 / $357.17 / $641.32	Professional		$340.71	$357.17	$641.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,175.00 / $14,996.00	Facility		$1,082.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.01 / $465.38 / $751.87	Professional		$341.01	$465.38	$751.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.34 / $398.81 / $493.62	Facility		$332.34	$398.81	$493.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.57 / $365.57 / $432.04	Professional		$365.57	$365.57	$432.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.58 / $885.00 / $1,758.30	Facility		$401.58	$885.00	$1,758.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.96 / $494.66 / $746.92	Professional		$348.96	$494.66	$746.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $1,309.85	Facility		$491.00	$885.00	$1,309.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.34 / $510.14 / $742.50	Professional		$354.34	$510.14	$742.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.79 / $428.54 / $574.60	Professional		$323.79	$428.54	$574.60
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 $315.95 / $454.44 / $737.16	Professional		$315.95	$454.44	$737.16