Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.49 / $3,124.50 / $8,956.00	Facility		$538.49	$3,124.50	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.66 / $466.25 / $809.23	Professional		$294.66	$466.25	$809.23
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 $175.38 / $260.95 / $464.92	Professional		$175.38	$260.95	$464.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $290.27 / $316.66 / $461.10	Facility		$290.27	$316.66	$461.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $394.04 / $497.09 / $632.66	Professional		$394.04	$497.09	$632.66
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 $357.02 / $522.27 / $815.43	Professional		$357.02	$522.27	$815.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $557.83 / $557.83 / $18,162.06	Facility		$557.83	$557.83	$18,162.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.23 / $528.72 / $825.14	Professional		$363.23	$528.72	$825.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $329.53 / $609.55	Professional		$34.77	$329.53	$609.55
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 $384.00 / $584.26 / $970.68	Professional		$384.00	$584.26	$970.68