Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.08 / $2,849.00 / $9,534.00	Facility		$322.08	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.94 / $322.08 / $499.24	Professional		$254.94	$322.08	$499.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,175.00 / $19,117.00	Facility		$1,755.00	$3,175.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.19 / $312.73 / $516.62	Professional		$233.19	$312.73	$516.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.79 / $292.55 / $362.10	Facility		$243.79	$292.55	$362.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $334.94 / $395.84	Professional		$286.45	$334.94	$395.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.72 / $885.00 / $5,935.99	Facility		$437.72	$885.00	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $376.52 / $593.66	Professional		$261.95	$376.52	$593.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $4,422.06	Facility		$491.00	$885.00	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $271.33 / $381.57 / $593.66	Professional		$271.33	$381.57	$593.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $291.33 / $447.25	Professional		$34.50	$291.33	$447.25
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 $278.95 / $371.29 / $655.08	Professional		$278.95	$371.29	$655.08