Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.64 / $4,723.00 / $11,627.00	Facility		$379.64	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.05 / $380.92 / $708.12	Professional		$348.05	$380.92	$708.12
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 $339.70 / $472.86 / $784.48	Professional		$339.70	$472.86	$784.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.74 / $436.49 / $540.26	Facility		$363.74	$436.49	$540.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $400.11 / $400.11 / $472.86	Professional		$400.11	$400.11	$472.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $530.00 / $1,200.00	Facility		$425.00	$530.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.92 / $517.62 / $787.21	Professional		$381.92	$517.62	$787.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $530.00 / $1,200.00	Facility		$425.00	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $392.82 / $536.71 / $773.50	Professional		$392.82	$536.71	$773.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $348.27 / $465.65 / $625.76	Professional		$348.27	$465.65	$625.76
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 $334.56 / $459.79 / $811.23	Professional		$334.56	$459.79	$811.23