Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.05 / $3,999.00 / $10,268.00	Facility		$480.05	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.41 / $473.54 / $990.35	Professional		$334.41	$473.54	$990.35
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 $210.29 / $306.27 / $527.70	Professional		$210.29	$306.27	$527.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.70 / $336.77 / $490.37	Facility		$308.70	$336.77	$490.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $425.72 / $513.25 / $653.23	Professional		$425.72	$513.25	$653.23
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 $384.82 / $559.91 / $867.07	Professional		$384.82	$559.91	$867.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $595.22 / $595.22 / $595.22	Facility		$595.22	$595.22	$595.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $392.89 / $562.22 / $881.27	Professional		$392.89	$562.22	$881.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $331.20 / $583.29	Professional		$71.09	$331.20	$583.29
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 $426.14 / $632.23 / $1,039.17	Professional		$426.14	$632.23	$1,039.17