Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.89 / $5,135.00 / $10,817.74	Facility		$753.89	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.05 / $506.99 / $1,000.31	Professional		$429.05	$506.99	$1,000.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.29 / $536.73 / $825.46	Professional		$376.29	$536.73	$825.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $465.29 / $507.59 / $739.11	Facility		$465.29	$507.59	$739.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.71 / $547.39 / $696.68	Professional		$503.71	$547.39	$696.68
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 $497.63 / $650.51 / $945.50	Professional		$497.63	$650.51	$945.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $598.53 / $598.53	Facility		$598.53	$598.53	$598.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $510.72 / $662.53 / $945.50	Professional		$510.72	$662.53	$945.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $367.39 / $603.04	Professional		$71.16	$367.39	$603.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.22 / $612.79 / $1,016.43	Professional		$401.22	$612.79	$1,016.43