Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.78 / $3,785.00 / $9,863.00	Facility		$384.78	$3,785.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $384.71 / $668.29	Professional		$251.19	$384.71	$668.29
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 $151.00 / $219.27 / $375.05	Professional		$151.00	$219.27	$375.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $237.22 / $258.77 / $376.83	Facility		$237.22	$258.77	$376.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $409.07 / $520.63	Professional		$329.60	$409.07	$520.63
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 $291.77 / $440.52 / $672.90	Professional		$291.77	$440.52	$672.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $456.19 / $456.19 / $456.19	Facility		$456.19	$456.19	$456.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $297.26 / $442.54 / $677.21	Professional		$297.26	$442.54	$677.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $255.77 / $448.71	Professional		$34.31	$255.77	$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 $333.81 / $495.07 / $838.74	Professional		$333.81	$495.07	$838.74