Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.06 / $6,075.00 / $11,243.00	Facility		$469.06	$6,075.00	$11,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.67 / $280.75 / $515.33	Professional		$248.67	$280.75	$515.33
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 $211.47 / $280.94 / $458.79	Professional		$211.47	$280.94	$458.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $254.64 / $305.57 / $378.22	Facility		$254.64	$305.57	$378.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.13 / $280.10 / $331.03	Professional		$254.13	$280.10	$331.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.14 / $4,048.28 / $5,935.99	Facility		$306.14	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.60 / $351.25 / $530.30	Professional		$260.60	$351.25	$530.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,048.28 / $5,054.04	Facility		$600.00	$4,048.28	$5,054.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $356.49 / $521.99	Professional		$266.64	$356.49	$521.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $274.35 / $401.40	Professional		$191.16	$274.35	$401.40
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 $230.68 / $315.77 / $530.40	Professional		$230.68	$315.77	$530.40