Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.48 / $2,113.00 / $10,268.00	Facility		$524.48	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.20 / $524.48 / $1,257.70	Professional		$447.20	$524.48	$1,257.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.80 / $506.30 / $914.71	Professional		$379.80	$506.30	$914.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $370.07 / $704.75 / $862.28	Facility		$370.07	$704.75	$862.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $421.45 / $604.67 / $943.29	Professional		$421.45	$604.67	$943.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.64 / $304.02 / $21,571.00	Facility		$272.64	$304.02	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.77 / $618.59 / $1,046.33	Professional		$434.77	$618.59	$1,046.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $272.64 / $272.64 / $304.02	Facility		$272.64	$272.64	$304.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $438.48 / $619.05 / $926.38	Professional		$438.48	$619.05	$926.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $353.05 / $627.21	Professional		$75.13	$353.05	$627.21
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,848.00 / $3,923.00	Facility		$745.00	$1,848.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.52 / $564.14 / $1,126.90	Professional		$443.52	$564.14	$1,126.90