Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.01 / $1,883.00 / $9,516.00	Facility		$561.01	$1,883.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.10 / $513.60 / $967.48	Professional		$378.10	$513.60	$967.48
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 $328.05 / $432.90 / $700.88	Professional		$328.05	$432.90	$700.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.06 / $387.34 / $564.02	Facility		$355.06	$387.34	$564.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.93 / $542.51 / $690.47	Professional		$392.93	$542.51	$690.47
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 $433.92 / $616.90 / $951.77	Professional		$433.92	$616.90	$951.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $680.08 / $680.08 / $680.08	Facility		$680.08	$680.08	$680.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $443.91 / $624.85 / $937.07	Professional		$443.91	$624.85	$937.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $385.79 / $636.45	Professional		$71.09	$385.79	$636.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.37 / $626.55 / $1,031.97	Professional		$412.37	$626.55	$1,031.97