Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.17 / $2,849.00 / $10,268.00	Facility		$436.17	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.29 / $427.22 / $794.12	Professional		$289.29	$427.22	$794.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $257.17 / $440.52	Professional		$177.36	$257.17	$440.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.99 / $301.08 / $438.42	Facility		$275.99	$301.08	$438.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.39 / $467.32 / $594.78	Professional		$330.39	$467.32	$594.78
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 $339.46 / $504.46 / $773.53	Professional		$339.46	$504.46	$773.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.53 / $530.53 / $530.53	Facility		$530.53	$530.53	$530.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $350.11 / $512.91 / $781.71	Professional		$350.11	$512.91	$781.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $299.41 / $539.11	Professional		$34.58	$299.41	$539.11
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 $356.75 / $547.04 / $924.61	Professional		$356.75	$547.04	$924.61