Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.43 / $2,485.00 / $10,268.00	Facility		$398.43	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.82 / $275.64 / $493.10	Professional		$263.82	$275.64	$493.10
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 $294.01 / $366.14 / $631.84	Professional		$294.01	$366.14	$631.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.18 / $287.97 / $345.84	Facility		$256.18	$287.97	$345.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.08 / $283.08 / $320.23	Professional		$283.08	$283.08	$320.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $763.40 / $1,287.90	Facility		$308.95	$763.40	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.60 / $355.30 / $572.66	Professional		$254.60	$355.30	$572.66
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 $256.18 / $355.30 / $538.83	Professional		$256.18	$355.30	$538.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.22 / $345.46 / $464.65	Professional		$245.22	$345.46	$464.65
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 $243.87 / $345.84 / $568.73	Professional		$243.87	$345.84	$568.73