Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.10 / $2,849.00 / $10,268.00	Facility		$460.10	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.04 / $435.99 / $795.88	Professional		$300.04	$435.99	$795.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.79 / $268.66 / $480.20	Professional		$182.79	$268.66	$480.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $290.66 / $317.08 / $461.73	Facility		$290.66	$317.08	$461.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $489.76 / $623.34	Professional		$353.44	$489.76	$623.34
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 $357.50 / $534.29 / $828.91	Professional		$357.50	$534.29	$828.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $558.83 / $558.83 / $558.83	Facility		$558.83	$558.83	$558.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $369.94 / $544.35 / $837.12	Professional		$369.94	$544.35	$837.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $300.07 / $567.70	Professional		$34.77	$300.07	$567.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.57 / $597.62 / $931.34	Professional		$380.57	$597.62	$931.34