Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.43 / $4,590.00 / $10,635.00	Facility		$828.43	$4,590.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.72 / $462.32 / $910.15	Professional		$396.72	$462.32	$910.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $4,072.00	Facility		$937.00	$2,059.00	$4,072.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $456.22 / $779.03	Professional		$315.95	$456.22	$779.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $423.87 / $462.41 / $673.33	Facility		$423.87	$462.41	$673.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.84 / $498.67 / $634.67	Professional		$347.84	$498.67	$634.67
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 $462.34 / $615.60 / $864.86	Professional		$462.34	$615.60	$864.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $546.45 / $546.45 / $546.45	Facility		$546.45	$546.45	$546.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $468.03 / $634.66 / $883.69	Professional		$468.03	$634.66	$883.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $269.92 / $588.30	Professional		$67.08	$269.92	$588.30
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.65 / $557.94 / $949.63	Professional		$370.65	$557.94	$949.63