Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.87 / $3,983.00 / $10,268.00	Facility		$335.87	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.46 / $286.81 / $542.94	Professional		$178.46	$286.81	$542.94
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 $116.34 / $170.00 / $310.80	Professional		$116.34	$170.00	$310.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.44 / $217.57 / $316.81	Facility		$199.44	$217.57	$316.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.60 / $359.74 / $457.86	Professional		$228.60	$359.74	$457.86
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 $234.62 / $343.81 / $522.04	Professional		$234.62	$343.81	$522.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $381.16 / $381.16 / $381.16	Facility		$381.16	$381.16	$381.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $245.29 / $346.82 / $540.21	Professional		$245.29	$346.82	$540.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $305.82 / $472.54	Professional		$32.56	$305.82	$472.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,321.00 / $6,522.00	Facility		$2,233.00	$4,321.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.74 / $368.42 / $611.58	Professional		$240.74	$368.42	$611.58