Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.95 / $1,109.08 / $11,627.00	Facility		$385.95	$1,109.08	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $389.38 / $697.29	Professional		$317.08	$389.38	$697.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $338.77 / $566.87	Professional		$235.67	$338.77	$566.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.23 / $350.44 / $510.27	Facility		$321.23	$350.44	$510.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.92 / $419.41 / $533.79	Professional		$289.92	$419.41	$533.79
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 $346.58 / $486.73 / $710.56	Professional		$346.58	$486.73	$710.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $613.67 / $613.67 / $613.67	Facility		$613.67	$613.67	$613.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.73 / $498.16 / $700.23	Professional		$360.73	$498.16	$700.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $294.77 / $502.58	Professional		$34.85	$294.77	$502.58
United Facility/Professional Facility Modifier Low / Median / High Price $199.30 / $738.00 / $2,816.00	Facility		$199.30	$738.00	$2,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $452.34 / $750.43	Professional		$298.82	$452.34	$750.43