Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.66 / $3,278.00 / $10,635.00	Facility		$370.66	$3,278.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.68 / $251.63 / $544.28	Professional		$214.68	$251.63	$544.28
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 $189.06 / $268.18 / $435.50	Professional		$189.06	$268.18	$435.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.06 / $247.70 / $360.70	Facility		$227.06	$247.70	$360.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $267.14 / $339.99	Professional		$208.73	$267.14	$339.99
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 $254.99 / $345.87 / $497.21	Professional		$254.99	$345.87	$497.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $293.49 / $293.49 / $293.49	Facility		$293.49	$293.49	$293.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $254.99 / $352.13 / $500.63	Professional		$254.99	$352.13	$500.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $194.07 / $317.56	Professional		$67.08	$194.07	$317.56
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 $205.91 / $319.76 / $514.29	Professional		$205.91	$319.76	$514.29