Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $1,045.85 / $1,307.10	Facility		$330.00	$1,045.85	$1,307.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.67 / $1,045.85 / $1,411.42	Professional		$717.67	$1,045.85	$1,411.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,499.34 / $1,758.02 / $2,825.69	Facility		$1,499.34	$1,758.02	$2,825.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $114.17 / $2,138.62	Professional		$83.47	$114.17	$2,138.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,235.72 / $1,647.63 / $2,224.30	Facility		$1,235.72	$1,647.63	$2,224.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,076.79 / $1,490.94 / $3,527.91	Professional		$1,076.79	$1,490.94	$3,527.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $1,941.32	Facility		$120.00	$120.00	$1,941.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $127.73	Professional		$102.00	$102.00	$127.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $120.00	Professional		$102.00	$120.00	$120.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $76.64 / $133.22	Professional		$51.38	$76.64	$133.22