Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.63 / $3,278.00 / $10,268.00	Facility		$687.63	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $462.43 / $847.75	Professional		$427.90	$462.43	$847.75
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 $346.40 / $457.92 / $753.86	Professional		$346.40	$457.92	$753.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.45 / $532.14 / $658.63	Facility		$443.45	$532.14	$658.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.80 / $487.80 / $685.29	Professional		$487.80	$487.80	$685.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.22 / $885.00 / $3,982.62	Facility		$528.22	$885.00	$3,982.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.49 / $598.66 / $929.26	Professional		$398.49	$598.66	$929.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $528.22 / $885.00 / $2,966.88	Facility		$528.22	$885.00	$2,966.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $401.05 / $620.03 / $926.02	Professional		$401.05	$620.03	$926.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $430.32 / $634.94	Professional		$72.25	$430.32	$634.94
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 $388.62 / $539.33 / $957.32	Professional		$388.62	$539.33	$957.32