Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.55 / $2,776.80 / $4,446.00	Facility		$385.55	$2,776.80	$4,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.97 / $1,248.00 / $1,326.00	Professional		$341.97	$1,248.00	$1,326.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.79 / $688.53 / $3,042.00	Facility		$399.79	$688.53	$3,042.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $460.50 / $1,586.00	Professional		$370.18	$460.50	$1,586.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $154.71 / $255.27	Facility		$149.94	$154.71	$255.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.71 / $154.71 / $154.71	Professional		$154.71	$154.71	$154.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $1,326.00 / $1,326.00	Facility		$356.22	$1,326.00	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $356.22 / $1,326.00	Facility		$356.22	$356.22	$1,326.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,560.00	Professional		$1,326.00	$1,326.00	$1,560.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $425.70 / $533.83	Professional		$370.18	$425.70	$533.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.74 / $1,300.00 / $1,547.00	Professional		$1,208.74	$1,300.00	$1,547.00