Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.19 / $7,155.00 / $11,627.00	Facility		$357.19	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.78 / $357.19 / $625.49	Professional		$334.78	$357.19	$625.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.02 / $318.27 / $525.29	Professional		$234.02	$318.27	$525.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.40 / $380.39 / $460.89	Facility		$341.40	$380.39	$460.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.25 / $377.25 / $426.75	Professional		$377.25	$377.25	$426.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $530.00 / $1,200.00	Facility		$408.44	$530.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.89 / $462.87 / $716.99	Professional		$346.89	$462.87	$716.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $530.00 / $1,200.00	Facility		$408.44	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.89 / $472.75 / $701.94	Professional		$346.89	$472.75	$701.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.38 / $433.94 / $717.95	Professional		$307.38	$433.94	$717.95