Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.37 / $2,292.00 / $9,504.00	Facility		$377.37	$2,292.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $684.04 / $1,085.01	Professional		$132.68	$684.04	$1,085.01
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 $150.12 / $603.14 / $1,687.08	Professional		$150.12	$603.14	$1,687.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $152.69 / $188.99	Facility		$127.25	$152.69	$188.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $725.37 / $857.26	Professional		$159.06	$725.37	$857.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.35 / $581.00 / $1,024.26	Facility		$230.35	$581.00	$1,024.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $298.02 / $1,326.51	Professional		$147.41	$298.02	$1,326.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $698.53 / $1,555.79	Facility		$400.00	$698.53	$1,555.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $304.00 / $1,326.51	Professional		$151.41	$304.00	$1,326.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $612.70 / $814.85 / $1,137.13	Professional		$612.70	$814.85	$1,137.13
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,665.00 / $5,457.00	Facility		$675.00	$2,665.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.48 / $1,015.05 / $1,678.21	Professional		$732.48	$1,015.05	$1,678.21