Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.98 / $2,113.00 / $9,534.00	Facility		$376.98	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $376.98 / $562.73	Professional		$204.90	$376.98	$562.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,386.00 / $8,800.00	Facility		$918.00	$2,386.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $346.29 / $621.94	Professional		$202.90	$346.29	$621.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.50 / $235.80 / $291.85	Facility		$196.50	$235.80	$291.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $403.18 / $476.49	Professional		$245.63	$403.18	$476.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.09 / $577.00 / $995.93	Facility		$354.09	$577.00	$995.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $380.07 / $696.40	Professional		$220.80	$380.07	$696.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $741.93	Facility		$366.00	$577.00	$741.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $225.97 / $380.07 / $696.40	Professional		$225.97	$380.07	$696.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $335.43 / $451.84 / $622.10	Professional		$335.43	$451.84	$622.10
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 $344.19 / $487.38 / $786.63	Professional		$344.19	$487.38	$786.63