Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.12 / $2,785.00 / $9,534.00	Facility		$508.12	$2,785.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.78 / $513.35 / $963.90	Professional		$410.78	$513.35	$963.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.37 / $490.35 / $773.80	Professional		$349.37	$490.35	$773.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.32 / $419.26 / $610.48	Facility		$384.32	$419.26	$610.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $388.51 / $557.80 / $709.94	Professional		$388.51	$557.80	$709.94
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 $448.72 / $664.34 / $996.30	Professional		$448.72	$664.34	$996.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $737.77 / $737.77 / $737.77	Facility		$737.77	$737.77	$737.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $468.43 / $684.58 / $992.90	Professional		$468.43	$684.58	$992.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $360.09 / $655.31	Professional		$71.09	$360.09	$655.31
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 $442.56 / $684.05 / $1,097.77	Professional		$442.56	$684.05	$1,097.77