Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.58 / $2,849.00 / $10,268.00	Facility		$579.58	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.93 / $579.58 / $1,102.17	Professional		$337.93	$579.58	$1,102.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $373.68 / $633.37	Professional		$267.89	$373.68	$633.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.31 / $346.15 / $504.03	Facility		$317.31	$346.15	$504.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.97 / $623.54 / $793.59	Professional		$455.97	$623.54	$793.59
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 $381.16 / $641.92 / $1,101.40	Professional		$381.16	$641.92	$1,101.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $609.29 / $609.29 / $609.29	Facility		$609.29	$609.29	$609.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $397.05 / $663.22 / $1,101.40	Professional		$397.05	$663.22	$1,101.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $396.64 / $727.44	Professional		$34.85	$396.64	$727.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.33 / $838.36 / $1,367.08	Professional		$526.33	$838.36	$1,367.08