Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.00 / $3,278.00 / $10,268.00	Facility		$609.00	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.13 / $372.28 / $677.52	Professional		$344.13	$372.28	$677.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,722.00 / $8,800.00	Facility		$918.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $347.36 / $590.55	Professional		$245.63	$347.36	$590.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.27 / $428.72 / $530.65	Facility		$357.27	$428.72	$530.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $324.74 / $393.00 / $464.45	Professional		$324.74	$393.00	$464.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $885.00 / $2,844.48	Facility		$425.93	$885.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.11 / $482.32 / $743.92	Professional		$345.11	$482.32	$743.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $2,119.01	Facility		$491.00	$885.00	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.17 / $495.14 / $727.66	Professional		$354.17	$495.14	$727.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $321.44 / $492.46	Professional		$66.72	$321.44	$492.46
United Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $4,138.00 / $6,831.00	Facility		$730.00	$4,138.00	$6,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $311.38 / $442.44 / $765.74	Professional		$311.38	$442.44	$765.74