Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.33 / $971.87 / $2,000.00	Facility		$499.33	$971.87	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.82 / $400.00 / $700.00	Professional		$367.82	$400.00	$700.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.00 / $1,508.00 / $2,781.00	Facility		$513.00	$1,508.00	$2,781.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $451.74 / $850.20	Professional		$372.75	$451.74	$850.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.50 / $245.69 / $557.97	Facility		$137.50	$245.69	$557.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $264.95 / $413.24	Professional		$148.28	$264.95	$413.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.71 / $448.45 / $700.00	Facility		$436.71	$448.45	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.29 / $571.59 / $971.39	Professional		$376.29	$571.59	$971.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $436.71 / $700.00 / $3,926.40	Facility		$436.71	$700.00	$3,926.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $396.66 / $565.03 / $935.88	Professional		$396.66	$565.03	$935.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $252.71 / $506.82	Professional		$133.24	$252.71	$506.82
United Facility/Professional Professional Modifier Low / Median / High Price $391.71 / $495.24 / $925.36	Professional		$391.71	$495.24	$925.36