Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.50 / $4,723.00 / $10,635.00	Facility		$596.50	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.49 / $332.80 / $596.50	Professional		$312.49	$332.80	$596.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,315.00 / $14,996.00	Facility		$1,082.00	$3,315.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.11 / $405.89 / $671.86	Professional		$314.11	$405.89	$671.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.11 / $376.93 / $466.53	Facility		$314.11	$376.93	$466.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.52 / $345.52 / $408.34	Professional		$345.52	$345.52	$408.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.60 / $2,964.49 / $4,346.83	Facility		$378.60	$2,964.49	$4,346.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.11 / $471.16 / $682.69	Professional		$314.11	$471.16	$682.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $2,964.49 / $3,238.21	Facility		$562.00	$2,964.49	$3,238.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $315.50 / $472.46 / $712.13	Professional		$315.50	$472.46	$712.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.96 / $394.01 / $525.81	Professional		$294.96	$394.01	$525.81
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 $299.98 / $424.05 / $701.64	Professional		$299.98	$424.05	$701.64