Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.80 / $3,983.00 / $10,268.00	Facility		$549.80	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.74 / $549.80 / $1,024.59	Professional		$449.74	$549.80	$1,024.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $4,072.00	Facility		$937.00	$2,059.00	$4,072.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $429.22 / $735.82	Professional		$277.89	$429.22	$735.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.44 / $446.66 / $650.40	Facility		$409.44	$446.66	$650.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.79 / $587.37 / $747.56	Professional		$438.79	$587.37	$747.56
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 $455.42 / $678.13 / $1,023.33	Professional		$455.42	$678.13	$1,023.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $782.18 / $782.18 / $782.18	Facility		$782.18	$782.18	$782.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $472.44 / $683.49 / $1,023.33	Professional		$472.44	$683.49	$1,023.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $387.28 / $689.03	Professional		$34.85	$387.28	$689.03
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $689.29 / $1,117.29	Professional		$440.51	$689.29	$1,117.29