Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.45 / $2,485.00 / $10,268.00	Facility		$543.45	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.58 / $365.47 / $666.17	Professional		$341.58	$365.47	$666.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,392.00 / $15,092.00	Facility		$1,082.00	$3,392.00	$15,092.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.27 / $337.24 / $579.78	Professional		$249.27	$337.24	$579.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.49 / $419.39 / $519.09	Facility		$349.49	$419.39	$519.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $384.44 / $541.55	Professional		$384.44	$384.44	$541.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $581.00 / $3,982.62	Facility		$400.00	$581.00	$3,982.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $469.37 / $730.23	Professional		$309.20	$469.37	$730.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $581.00 / $2,966.88	Facility		$400.00	$581.00	$2,966.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $313.70 / $480.93 / $710.47	Professional		$313.70	$480.93	$710.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $342.53 / $499.13	Professional		$34.50	$342.53	$499.13
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.41 / $423.32 / $758.07	Professional		$299.41	$423.32	$758.07