Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.57 / $3,278.00 / $10,268.00	Facility		$677.57	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.61 / $458.10 / $842.16	Professional		$420.61	$458.10	$842.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $2,958.00 / $14,996.00	Facility		$919.00	$2,958.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.03 / $485.30 / $801.96	Professional		$370.03	$485.30	$801.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.04 / $524.45 / $649.13	Facility		$437.04	$524.45	$649.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.62 / $480.74 / $568.15	Professional		$445.62	$480.74	$568.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.97 / $1,916.10 / $3,232.54	Facility		$520.97	$1,916.10	$3,232.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.24 / $611.86 / $919.34	Professional		$442.24	$611.86	$919.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,916.10 / $2,408.10	Facility		$530.00	$1,916.10	$2,408.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $454.53 / $615.36 / $919.34	Professional		$454.53	$615.36	$919.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $475.13 / $664.31	Professional		$46.27	$475.13	$664.31
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 $393.99 / $554.48 / $959.11	Professional		$393.99	$554.48	$959.11