Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.22 / $2,785.00 / $9,504.00	Facility		$430.22	$2,785.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $392.28 / $689.90	Professional		$277.81	$392.28	$689.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.35 / $288.56 / $469.12	Professional		$201.35	$288.56	$469.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.35 / $289.48 / $421.52	Facility		$265.35	$289.48	$421.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.57 / $420.12 / $534.70	Professional		$307.57	$420.12	$534.70
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 $301.89 / $444.57 / $692.72	Professional		$301.89	$444.57	$692.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $507.71 / $507.71 / $507.71	Facility		$507.71	$507.71	$507.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $326.37 / $458.31 / $692.72	Professional		$326.37	$458.31	$692.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $266.05 / $496.03	Professional		$34.85	$266.05	$496.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.69 / $478.56 / $788.68	Professional		$316.69	$478.56	$788.68