Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.00 / $3,027.00 / $10,268.00	Facility		$609.00	$3,027.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.94 / $356.53 / $702.36	Professional		$284.94	$356.53	$702.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,544.00 / $30,285.00	Facility		$2,670.00	$5,544.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $220.20 / $483.67	Professional		$144.12	$220.20	$483.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.35 / $354.92 / $516.82	Facility		$325.35	$354.92	$516.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.48 / $382.77 / $487.16	Professional		$273.48	$382.77	$487.16
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 $328.71 / $448.88 / $661.14	Professional		$328.71	$448.88	$661.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $425.93 / $425.93	Facility		$425.93	$425.93	$425.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $333.12 / $463.71 / $661.14	Professional		$333.12	$463.71	$661.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $197.19 / $459.56	Professional		$32.53	$197.19	$459.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,427.00	Facility		$2,647.00	$4,404.00	$7,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $255.17 / $393.75 / $641.17	Professional		$255.17	$393.75	$641.17