Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.24 / $2,895.00 / $9,534.00	Facility		$458.24	$2,895.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.93 / $455.09 / $997.88	Professional		$375.93	$455.09	$997.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,443.00 / $8,800.00	Facility		$1,145.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.26 / $415.32 / $675.82	Professional		$303.26	$415.32	$675.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.27 / $417.02 / $607.25	Facility		$382.27	$417.02	$607.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $386.88 / $490.90 / $624.78	Professional		$386.88	$490.90	$624.78
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 $420.34 / $580.15 / $839.12	Professional		$420.34	$580.15	$839.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $730.13 / $730.13 / $730.13	Facility		$730.13	$730.13	$730.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $429.29 / $592.83 / $832.12	Professional		$429.29	$592.83	$832.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $334.93 / $583.98	Professional		$34.85	$334.93	$583.98
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $3,212.71	Facility		$444.00	$975.00	$3,212.71
United Facility/Professional Professional Modifier Low / Median / High Price $357.02 / $535.52 / $899.12	Professional		$357.02	$535.52	$899.12