Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.20 / $3,696.00 / $10,268.00	Facility		$394.20	$3,696.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.22 / $398.87 / $705.61	Professional		$296.22	$398.87	$705.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.45 / $409.63 / $680.77	Professional		$282.45	$409.63	$680.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $481.28 / $481.28 / $481.28	Professional		$481.28	$481.28	$481.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $328.93 / $478.96 / $478.96	Facility		$328.93	$478.96	$478.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.54 / $468.50 / $468.50	Professional		$335.54	$468.50	$468.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.13 / $459.42 / $763.05	Professional		$303.13	$459.42	$763.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $338.61 / $489.80 / $745.35	Professional		$338.61	$489.80	$745.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $325.29 / $571.23	Professional		$36.46	$325.29	$571.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.93 / $471.33 / $778.43	Professional		$329.93	$471.33	$778.43