Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.16 / $2,849.00 / $9,534.00	Facility		$367.16	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.14 / $717.66 / $1,105.31	Professional		$200.14	$717.66	$1,105.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.69 / $690.17 / $1,816.46	Professional		$218.69	$690.17	$1,816.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.77 / $231.32 / $286.32	Facility		$192.77	$231.32	$286.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.96 / $749.49 / $885.76	Professional		$240.96	$749.49	$885.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $878.33 / $1,287.90	Facility		$348.15	$878.33	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.95 / $431.41 / $1,412.66	Professional		$217.95	$431.41	$1,412.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $878.33 / $959.43	Facility		$562.00	$878.33	$959.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $221.69 / $429.93 / $1,417.09	Professional		$221.69	$429.93	$1,417.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $667.68 / $1,021.86	Professional		$68.68	$667.68	$1,021.86
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.35 / $1,066.45 / $1,733.66	Professional		$739.35	$1,066.45	$1,733.66