Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.24 / $4,197.00 / $10,268.00	Facility		$501.24	$4,197.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $280.00 / $501.24	Professional		$271.08	$280.00	$501.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,392.00 / $14,996.00	Facility		$1,082.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.87 / $378.04 / $611.54	Professional		$281.87	$378.04	$611.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.77 / $317.72 / $393.25	Facility		$264.77	$317.72	$393.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.25 / $291.25 / $376.02	Professional		$291.25	$291.25	$376.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.77 / $4,400.47 / $6,452.40	Facility		$317.77	$4,400.47	$6,452.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $402.10 / $582.62	Professional		$275.36	$402.10	$582.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $4,400.47 / $4,806.77	Facility		$562.00	$4,400.47	$4,806.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $276.99 / $406.43 / $602.70	Professional		$276.99	$406.43	$602.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.47 / $313.39 / $417.84	Professional		$237.47	$313.39	$417.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,074.00 / $8,105.00 / $13,382.00	Facility		$1,074.00	$8,105.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.64 / $357.51 / $591.42	Professional		$246.64	$357.51	$591.42