Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.01 / $2,785.00 / $9,534.00	Facility		$385.01	$2,785.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.99 / $384.08 / $663.96	Professional		$329.99	$384.08	$663.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $362.13 / $670.87	Professional		$278.56	$362.13	$670.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $370.07 / $515.84 / $631.14	Facility		$370.07	$515.84	$631.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.07 / $441.78 / $689.18	Professional		$318.07	$441.78	$689.18
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 $321.18 / $453.68 / $772.80	Professional		$321.18	$453.68	$772.80
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 $323.41 / $455.44 / $683.31	Professional		$323.41	$455.44	$683.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $268.81 / $454.88	Professional		$36.79	$268.81	$454.88
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 $319.32 / $411.12 / $831.35	Professional		$319.32	$411.12	$831.35