Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.22 / $4,723.00 / $10,268.00	Facility		$811.22	$4,723.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.62 / $517.98 / $953.69	Professional		$448.62	$517.98	$953.69
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 $435.69 / $579.94 / $977.77	Professional		$435.69	$579.94	$977.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $469.32 / $511.98 / $745.51	Facility		$469.32	$511.98	$745.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $440.84 / $552.13 / $702.72	Professional		$440.84	$552.13	$702.72
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 $501.76 / $702.71 / $973.79	Professional		$501.76	$702.71	$973.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $617.76 / $617.76	Facility		$617.76	$617.76	$617.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $501.76 / $702.71 / $1,016.52	Professional		$501.76	$702.71	$1,016.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $384.50 / $654.76	Professional		$34.85	$384.50	$654.76
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 $391.37 / $592.19 / $923.74	Professional		$391.37	$592.19	$923.74