Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.33 / $3,278.00 / $10,635.00	Facility		$650.33	$3,278.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.00 / $437.34 / $784.22	Professional		$387.00	$437.34	$784.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $464.87 / $734.19	Professional		$346.00	$464.87	$734.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $401.65 / $438.17 / $638.03	Facility		$401.65	$438.17	$638.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.48 / $472.54 / $601.41	Professional		$404.48	$472.54	$601.41
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 $438.39 / $595.01 / $822.21	Professional		$438.39	$595.01	$822.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $518.54 / $518.54 / $518.54	Facility		$518.54	$518.54	$518.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $440.64 / $601.41 / $822.21	Professional		$440.64	$601.41	$822.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $325.70 / $544.72	Professional		$71.16	$325.70	$544.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,468.76 / $4,922.00	Facility		$1,771.00	$2,468.76	$4,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $343.35 / $528.77 / $837.22	Professional		$343.35	$528.77	$837.22