Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.40 / $1,032.00 / $1,848.00	Facility		$542.40	$1,032.00	$1,848.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $480.00 / $866.16	Professional		$420.00	$480.00	$866.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.79 / $648.00 / $1,061.82	Facility		$529.79	$648.00	$1,061.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $292.80 / $897.15	Professional		$240.00	$292.80	$897.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $750.00 / $900.00	Facility		$600.00	$750.00	$900.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $810.00 / $1,440.00	Professional		$780.00	$810.00	$1,440.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.37 / $682.50 / $3,424.20	Facility		$617.37	$682.50	$3,424.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $445.87 / $1,162.57	Professional		$273.95	$445.87	$1,162.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $617.37 / $682.50 / $3,424.20	Facility		$617.37	$682.50	$3,424.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $445.87 / $1,162.57	Professional		$273.95	$445.87	$1,162.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $472.50 / $540.00 / $742.50	Professional		$472.50	$540.00	$742.50
United Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Facility		$720.00	$720.00	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $360.00 / $792.42	Professional		$252.00	$360.00	$792.42