Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.12 / $4,723.00 / $11,627.00	Facility		$498.12	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.68 / $498.12 / $846.80	Professional		$444.68	$498.12	$846.80
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 $383.83 / $523.82 / $852.56	Professional		$383.83	$523.82	$852.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $479.85 / $575.82 / $712.70	Facility		$479.85	$575.82	$712.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $527.84 / $623.80	Professional		$372.32	$527.84	$623.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,686.07 / $2,844.48	Facility		$530.00	$1,686.07	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.05 / $640.67 / $1,004.27	Professional		$448.05	$640.67	$1,004.27
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 $465.26 / $659.27 / $994.31	Professional		$465.26	$659.27	$994.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $465.13 / $686.52	Professional		$72.25	$465.13	$686.52
United Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $5,460.00 / $7,853.00	Facility		$819.00	$5,460.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.39 / $586.42 / $1,020.57	Professional		$422.39	$586.42	$1,020.57