Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.59 / $4,886.00 / $11,581.00	Facility		$539.59	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.11 / $537.70 / $990.87	Professional		$392.11	$537.70	$990.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,576.00 / $14,996.00	Facility		$1,712.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.34 / $351.39 / $595.92	Professional		$242.34	$351.39	$595.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.24 / $396.26 / $577.02	Facility		$363.24	$396.26	$577.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $517.08 / $575.79 / $732.83	Professional		$517.08	$575.79	$732.83
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 $446.76 / $638.61 / $977.46	Professional		$446.76	$638.61	$977.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $701.30 / $701.30 / $701.30	Facility		$701.30	$701.30	$701.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $454.53 / $638.79 / $994.55	Professional		$454.53	$638.79	$994.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $364.73 / $656.31	Professional		$72.32	$364.73	$656.31
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 $477.00 / $706.90 / $1,138.86	Professional		$477.00	$706.90	$1,138.86