Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.07 / $4,805.22 / $11,243.00	Facility		$756.07	$4,805.22	$11,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $415.87 / $830.65	Professional		$345.68	$415.87	$830.65
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 $306.48 / $438.50 / $701.16	Professional		$306.48	$438.50	$701.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.44 / $516.66 / $775.01	Facility		$397.44	$516.66	$775.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.18 / $496.80 / $775.01	Professional		$437.18	$496.80	$775.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $4,400.47 / $6,452.40	Facility		$473.66	$4,400.47	$6,452.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.61 / $526.32 / $822.82	Professional		$357.61	$526.32	$822.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $4,400.47 / $6,262.52	Facility		$600.00	$4,400.47	$6,262.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $376.86 / $542.01 / $804.01	Professional		$376.86	$542.01	$804.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $360.07 / $541.71	Professional		$52.54	$360.07	$541.71
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.58 / $478.36 / $853.64	Professional		$336.58	$478.36	$853.64