Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.06 / $5,072.00 / $11,581.00	Facility		$498.06	$5,072.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.58 / $408.25 / $748.49	Professional		$362.58	$408.25	$748.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,392.00 / $14,996.00	Facility		$1,082.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $456.65 / $724.90	Professional		$316.60	$456.65	$724.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.84 / $509.39 / $764.09	Facility		$391.84	$509.39	$764.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $431.02 / $489.80 / $764.09	Professional		$431.02	$489.80	$764.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.44 / $2,338.44 / $3,428.85	Facility		$466.44	$2,338.44	$3,428.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.92 / $528.98 / $818.38	Professional		$374.92	$528.98	$818.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,338.44 / $3,097.56	Facility		$600.00	$2,338.44	$3,097.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $548.58 / $811.42	Professional		$391.73	$548.58	$811.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $411.29 / $585.02	Professional		$45.95	$411.29	$585.02
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 $343.29 / $476.29 / $849.95	Professional		$343.29	$476.29	$849.95