Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.08 / $4,723.00 / $10,635.00	Facility		$771.08	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.67 / $429.29 / $777.29	Professional		$397.67	$429.29	$777.29
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 $333.26 / $455.09 / $719.45	Professional		$333.26	$455.09	$719.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.94 / $472.73 / $585.11	Facility		$393.94	$472.73	$585.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $433.33 / $433.33 / $512.12	Professional		$433.33	$433.33	$512.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.42 / $1,939.90 / $2,844.48	Facility		$472.42	$1,939.90	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.90 / $537.64 / $815.35	Professional		$366.90	$537.64	$815.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $1,939.90 / $2,119.01	Facility		$562.00	$1,939.90	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $551.51 / $815.35	Professional		$386.06	$551.51	$815.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $410.98 / $596.42	Professional		$72.25	$410.98	$596.42
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.79 / $490.28 / $873.83	Professional		$344.79	$490.28	$873.83