Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.26 / $5,151.41 / $11,581.00	Facility		$763.26	$5,151.41	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $480.23 / $1,194.29	Professional		$394.32	$480.23	$1,194.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.20 / $490.43 / $795.20	Professional		$372.20	$490.43	$795.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.37 / $435.67 / $634.40	Facility		$399.37	$435.67	$634.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.52 / $469.84 / $597.98	Professional		$367.52	$469.84	$597.98
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 $448.49 / $619.34 / $894.97	Professional		$448.49	$619.34	$894.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $509.09 / $1,329.69 / $3,535.14	Facility		$509.09	$1,329.69	$3,535.14
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $50.56 / $50.56 / $50.56	Facility	AS	$50.56	$50.56	$50.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $448.49 / $627.83 / $887.81	Professional		$448.49	$627.83	$887.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $343.73 / $552.50	Professional		$67.21	$343.73	$552.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.34 / $576.63 / $930.38	Professional		$358.34	$576.63	$930.38