Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.84 / $2,485.00 / $10,268.00	Facility		$491.84	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.32 / $330.76 / $598.32	Professional		$307.32	$330.76	$598.32
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 $244.20 / $322.55 / $531.50	Professional		$244.20	$322.55	$531.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.08 / $380.51 / $470.97	Facility		$317.08	$380.51	$470.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.80 / $348.80 / $487.11	Professional		$348.80	$348.80	$487.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $581.00 / $1,996.24	Facility		$379.05	$581.00	$1,996.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.75 / $428.07 / $658.15	Professional		$282.75	$428.07	$658.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $581.00 / $1,487.12	Facility		$379.05	$581.00	$1,487.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $437.77 / $653.54	Professional		$295.70	$437.77	$653.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.64 / $342.70 / $475.11	Professional		$250.64	$342.70	$475.11
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $378.81 / $674.95	Professional		$272.95	$378.81	$674.95