Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.46 / $5,213.95 / $11,581.00	Facility		$699.46	$5,213.95	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.36 / $460.62 / $801.84	Professional		$400.36	$460.62	$801.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.48 / $503.48 / $788.98	Professional		$372.48	$503.48	$788.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $383.22 / $418.06 / $608.74	Facility		$383.22	$418.06	$608.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.87 / $450.85 / $573.79	Professional		$391.87	$450.85	$573.79
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 $409.86 / $578.15 / $878.78	Professional		$409.86	$578.15	$878.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $501.45 / $501.45 / $501.45	Facility		$501.45	$501.45	$501.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $426.65 / $594.29 / $861.34	Professional		$426.65	$594.29	$861.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $290.96 / $527.52	Professional		$34.85	$290.96	$527.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,397.21 / $3,724.00 / $6,238.00	Facility		$2,397.21	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.98 / $539.17 / $843.06	Professional		$345.98	$539.17	$843.06