Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.48 / $2,359.40 / $10,268.00	Facility		$115.48	$2,359.40	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $187.56 / $1,000.25	Professional		$63.07	$187.56	$1,000.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,769.00 / $3,943.00	Facility		$711.00	$1,769.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $441.53 / $1,303.43	Professional		$69.79	$441.53	$1,303.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $74.05 / $91.65	Facility		$61.71	$74.05	$91.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $554.75 / $655.62	Professional		$77.14	$554.75	$655.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $581.00 / $1,024.26	Facility		$111.56	$581.00	$1,024.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $196.42 / $1,016.14	Professional		$70.03	$196.42	$1,016.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $581.00 / $831.90	Facility		$400.00	$581.00	$831.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $200.00 / $1,016.14	Professional		$72.41	$200.00	$1,016.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $440.44 / $587.62 / $821.11	Professional		$440.44	$587.62	$821.11
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 $552.07 / $774.68 / $1,282.19	Professional		$552.07	$774.68	$1,282.19