Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.15 / $2,936.00 / $9,534.00	Facility		$482.15	$2,936.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.43 / $438.32 / $793.63	Professional		$346.43	$438.32	$793.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $371.14 / $618.57	Professional		$262.27	$371.14	$618.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.79 / $348.86 / $507.99	Facility		$319.79	$348.86	$507.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.42 / $472.16 / $600.94	Professional		$341.42	$472.16	$600.94
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 $376.22 / $564.33 / $847.46	Professional		$376.22	$564.33	$847.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $614.32 / $614.32 / $614.32	Facility		$614.32	$614.32	$614.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $385.48 / $576.26 / $844.47	Professional		$385.48	$576.26	$844.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $299.41 / $567.70	Professional		$34.85	$299.41	$567.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,351.00	Facility		$2,647.00	$4,404.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.81 / $592.36 / $976.03	Professional		$383.81	$592.36	$976.03