Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.67 / $2,485.00 / $10,268.00	Facility		$378.67	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.44 / $258.47 / $467.65	Professional		$241.44	$258.47	$467.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $3,080.00 / $19,117.00	Facility		$1,121.00	$3,080.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.67 / $298.93 / $477.57	Professional		$227.67	$298.93	$477.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.90 / $291.48 / $360.77	Facility		$242.90	$291.48	$360.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.19 / $267.19 / $315.77	Professional		$267.19	$267.19	$315.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.63 / $3,261.57 / $5,502.41	Facility		$293.63	$3,261.57	$5,502.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.61 / $342.73 / $519.54	Professional		$252.61	$342.73	$519.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $3,261.57 / $4,099.06	Facility		$530.00	$3,261.57	$4,099.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $255.04 / $349.92 / $511.23	Professional		$255.04	$349.92	$511.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.06 / $311.69 / $416.51	Professional		$237.06	$311.69	$416.51
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,551.00 / $5,457.00	Facility		$707.00	$2,551.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.91 / $317.33 / $540.79	Professional		$231.91	$317.33	$540.79