Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,032.00 / $1,500.00	Facility		$480.00	$1,032.00	$1,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.44 / $480.00 / $900.00	Professional		$419.44	$480.00	$900.00
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 $554.28 / $692.85 / $1,205.22	Professional		$554.28	$692.85	$1,205.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $690.00 / $900.00	Facility		$600.00	$690.00	$900.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $780.00 / $1,311.91	Professional		$600.00	$780.00	$1,311.91
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 $274.58 / $338.55 / $1,305.96	Professional		$274.58	$338.55	$1,305.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $617.37 / $756.60 / $3,424.20	Facility		$617.37	$756.60	$3,424.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $274.58 / $322.92 / $1,305.96	Professional		$274.58	$322.92	$1,305.96
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