Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.24 / $2,485.00 / $10,268.00	Facility		$335.24	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $231.10 / $415.27	Professional		$222.01	$231.10	$415.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,750.00 / $3,943.00	Facility		$711.00	$1,750.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.02 / $268.17 / $467.25	Professional		$159.02	$268.17	$467.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.75 / $258.89 / $320.44	Facility		$215.75	$258.89	$320.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.33 / $237.33 / $280.48	Professional		$237.33	$237.33	$280.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $600.00 / $995.93	Facility		$259.94	$600.00	$995.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $298.41 / $481.02	Professional		$220.00	$298.41	$481.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $600.00 / $741.93	Facility		$530.00	$600.00	$741.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $224.37 / $302.04 / $453.61	Professional		$224.37	$302.04	$453.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.89 / $271.64 / $365.86	Professional		$197.89	$271.64	$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 $204.92 / $291.26 / $482.36	Professional		$204.92	$291.26	$482.36