Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.95 / $4,723.00 / $10,635.00	Facility		$550.95	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $377.79 / $675.53	Professional		$354.10	$377.79	$675.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,082.00 / $4,932.00 / $25,522.00	Facility		$2,082.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.51 / $470.39 / $782.20	Professional		$368.51	$470.39	$782.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.81 / $426.97 / $528.46	Facility		$355.81	$426.97	$528.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.39 / $391.39 / $462.55	Professional		$391.39	$391.39	$462.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $9,108.78 / $13,356.20	Facility		$428.89	$9,108.78	$13,356.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.81 / $529.10 / $774.46	Professional		$355.81	$529.10	$774.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $9,108.78 / $9,949.81	Facility		$562.00	$9,108.78	$9,949.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.81 / $533.98 / $806.76	Professional		$355.81	$533.98	$806.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $352.85 / $471.49 / $632.45	Professional		$352.85	$471.49	$632.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,326.00 / $8,105.00 / $12,385.00	Facility		$1,326.00	$8,105.00	$12,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.49 / $480.34 / $795.15	Professional		$337.49	$480.34	$795.15