Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.05 / $2,485.00 / $10,268.00	Facility		$395.05	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.66 / $267.74 / $487.07	Professional		$241.66	$267.74	$487.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,492.00 / $8,800.00	Facility		$918.00	$2,492.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $229.22 / $398.33	Professional		$164.74	$229.22	$398.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.58 / $307.91 / $381.11	Facility		$256.58	$307.91	$381.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.13 / $282.25 / $333.57	Professional		$201.13	$282.25	$333.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.24 / $1,686.07 / $2,844.48	Facility		$310.24	$1,686.07	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $330.29 / $522.44	Professional		$234.60	$330.29	$522.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,686.07 / $2,119.01	Facility		$530.00	$1,686.07	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $336.68 / $503.95	Professional		$248.93	$336.68	$503.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.34 / $304.38 / $425.75	Professional		$219.34	$304.38	$425.75
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 $205.22 / $292.64 / $533.29	Professional		$205.22	$292.64	$533.29