Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.30 / $2,485.00 / $10,268.00	Facility		$332.30	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.17 / $229.18 / $410.90	Professional		$220.17	$229.18	$410.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.98 / $278.01 / $467.75	Professional		$222.98	$278.01	$467.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.86 / $240.32 / $288.70	Facility		$213.86	$240.32	$288.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.32 / $236.32 / $267.33	Professional		$236.32	$236.32	$267.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $763.40 / $1,287.90	Facility		$257.64	$763.40	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $296.00 / $476.78	Professional		$218.53	$296.00	$476.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $763.40 / $959.43	Facility		$530.00	$763.40	$959.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $222.42 / $299.41 / $448.85	Professional		$222.42	$299.41	$448.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $269.56 / $365.86	Professional		$191.41	$269.56	$365.86
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 $199.72 / $286.11 / $478.05	Professional		$199.72	$286.11	$478.05