Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.20 / $3,278.00 / $10,268.00	Facility		$496.20	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.70 / $276.12 / $496.20	Professional		$268.70	$276.12	$496.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,111.00 / $14,996.00	Facility		$1,082.00	$3,111.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.05 / $337.66 / $559.98	Professional		$263.05	$337.66	$559.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $315.66 / $390.70	Facility		$263.05	$315.66	$390.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.36 / $289.36 / $341.97	Professional		$289.36	$289.36	$341.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.85 / $885.00 / $6,452.40	Facility		$315.85	$885.00	$6,452.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $390.49 / $577.82	Professional		$273.58	$390.49	$577.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $4,806.77	Facility		$491.00	$885.00	$4,806.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $276.20 / $399.33 / $591.16	Professional		$276.20	$399.33	$591.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $313.39 / $417.84	Professional		$237.47	$313.39	$417.84
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.92 / $357.06 / $583.66	Professional		$249.92	$357.06	$583.66