Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.55 / $2,849.00 / $9,534.00	Facility		$385.55	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $383.06 / $677.08	Professional		$250.93	$383.06	$677.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.75 / $214.97 / $407.42	Professional		$142.75	$214.97	$407.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.54 / $261.31 / $380.51	Facility		$239.54	$261.31	$380.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.80 / $411.15 / $523.28	Professional		$295.80	$411.15	$523.28
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 $294.62 / $429.69 / $668.16	Professional		$294.62	$429.69	$668.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $459.93 / $459.93	Facility		$459.93	$459.93	$459.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $299.61 / $437.31 / $672.78	Professional		$299.61	$437.31	$672.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $265.64 / $469.67	Professional		$34.77	$265.64	$469.67
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 $320.63 / $483.05 / $824.88	Professional		$320.63	$483.05	$824.88