Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.55 / $2,967.00 / $11,435.10	Facility		$852.55	$2,967.00	$11,435.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.56 / $546.96 / $1,312.10	Professional		$444.56	$546.96	$1,312.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.57 / $442.91 / $773.69	Professional		$317.57	$442.91	$773.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $470.46 / $513.23 / $747.34	Facility		$470.46	$513.23	$747.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.53 / $553.49 / $704.44	Professional		$387.53	$553.49	$704.44
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 $470.46 / $697.14 / $983.56	Professional		$470.46	$697.14	$983.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $601.70 / $601.70 / $601.70	Facility		$601.70	$601.70	$601.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $503.17 / $704.43 / $969.00	Professional		$503.17	$704.43	$969.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $367.22 / $627.65	Professional		$71.16	$367.22	$627.65
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 $400.97 / $615.15 / $1,061.66	Professional		$400.97	$615.15	$1,061.66