Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.34 / $5,135.00 / $11,581.00	Facility		$615.34	$5,135.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.92 / $413.81 / $820.44	Professional		$364.92	$413.81	$820.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,932.00 / $30,285.00	Facility		$2,777.00	$6,932.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.33 / $365.62 / $620.45	Professional		$252.33	$365.62	$620.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.04 / $413.50 / $602.12	Facility		$379.04	$413.50	$602.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.93 / $445.93 / $567.54	Professional		$445.93	$445.93	$567.54
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 $422.72 / $602.76 / $856.63	Professional		$422.72	$602.76	$856.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $487.10 / $487.10	Facility		$487.10	$487.10	$487.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $425.66 / $602.76 / $867.53	Professional		$425.66	$602.76	$867.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $273.90 / $504.25	Professional		$71.09	$273.90	$504.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.31 / $547.02 / $832.24	Professional		$351.31	$547.02	$832.24