Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.25 / $4,723.00 / $10,635.00	Facility		$890.25	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.41 / $500.01 / $890.25	Professional		$471.41	$500.01	$890.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,555.00 / $19,117.00	Facility		$1,755.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.87 / $560.86 / $923.46	Professional		$428.87	$560.86	$923.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.16 / $553.39 / $684.94	Facility		$461.16	$553.39	$684.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.30 / $507.28 / $599.51	Professional		$451.30	$507.28	$599.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $4,048.28 / $5,935.99	Facility		$558.49	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.94 / $645.63 / $988.21	Professional		$451.94	$645.63	$988.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $4,048.28 / $4,422.06	Facility		$562.00	$4,048.28	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $461.16 / $654.22 / $972.43	Professional		$461.16	$654.22	$972.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $464.94 / $686.52	Professional		$72.25	$464.94	$686.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.87 / $596.32 / $1,053.16	Professional		$428.87	$596.32	$1,053.16