Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.14 / $2,849.00 / $9,534.00	Facility		$429.14	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.16 / $429.14 / $734.83	Professional		$317.16	$429.14	$734.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,242.00 / $19,117.00	Facility		$1,755.00	$3,242.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $403.05 / $671.79	Professional		$292.82	$403.05	$671.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.58 / $367.90 / $455.35	Facility		$306.58	$367.90	$455.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.77 / $453.60 / $536.07	Professional		$362.77	$453.60	$536.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $5,935.99	Facility		$508.00	$885.00	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.59 / $497.26 / $824.73	Professional		$339.59	$497.26	$824.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $4,422.06	Facility		$508.00	$885.00	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $344.66 / $510.32 / $822.71	Professional		$344.66	$510.32	$822.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $413.43 / $620.47	Professional		$34.34	$413.43	$620.47
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.29 / $545.76 / $931.89	Professional		$384.29	$545.76	$931.89