Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.35 / $4,934.00 / $11,581.00	Facility		$508.35	$4,934.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.61 / $466.75 / $788.82	Professional		$417.61	$466.75	$788.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.13 / $500.96 / $858.40	Professional		$411.13	$500.96	$858.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $463.14 / $674.39 / $674.39	Facility		$463.14	$674.39	$674.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $499.47 / $499.47 / $546.23	Professional		$499.47	$499.47	$546.23
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 $401.46 / $590.27 / $954.01	Professional		$401.46	$590.27	$954.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,839.22 / $4,839.22 / $4,839.22	Facility		$4,839.22	$4,839.22	$4,839.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $424.54 / $649.12 / $954.01	Professional		$424.54	$649.12	$954.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $396.19 / $641.79	Professional		$66.05	$396.19	$641.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.79 / $565.23 / $979.47	Professional		$412.79	$565.23	$979.47