Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.19 / $7,155.00 / $11,627.00	Facility		$357.19	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.01 / $375.48 / $1,203.73	Professional		$337.01	$375.48	$1,203.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,175.00 / $14,996.00	Facility		$919.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $402.06 / $677.77	Professional		$305.14	$402.06	$677.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $286.52 / $364.83 / $441.94	Facility		$286.52	$364.83	$441.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.98 / $360.10 / $556.51	Professional		$297.98	$360.10	$556.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $425.00 / $21,571.00	Facility		$413.28	$425.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.26 / $490.45 / $792.27	Professional		$348.26	$490.45	$792.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $425.00 / $1,200.00	Facility		$413.28	$425.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.29 / $490.45 / $754.54	Professional		$355.29	$490.45	$754.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.79 / $195.25 / $244.85	Professional		$169.79	$195.25	$244.85
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 $282.93 / $417.45 / $735.26	Professional		$282.93	$417.45	$735.26