Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.12 / $3,983.00 / $10,268.00	Facility		$395.12	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $371.79 / $646.54	Professional		$267.45	$371.79	$646.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $231.87 / $401.46	Professional		$158.05	$231.87	$401.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.55 / $271.14 / $394.81	Facility		$248.55	$271.14	$394.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.19 / $420.44 / $535.11	Professional		$321.19	$420.44	$535.11
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 $305.70 / $455.67 / $704.24	Professional		$305.70	$455.67	$704.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $478.18 / $478.18 / $478.18	Facility		$478.18	$478.18	$478.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $311.85 / $458.66 / $704.50	Professional		$311.85	$458.66	$704.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $255.03 / $448.71	Professional		$34.31	$255.03	$448.71
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 $327.63 / $507.85 / $822.55	Professional		$327.63	$507.85	$822.55