Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.44 / $4,684.02 / $9,863.00	Facility		$499.44	$4,684.02	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $347.95 / $616.87	Professional		$285.20	$347.95	$616.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.54 / $379.60 / $654.16	Professional		$265.54	$379.60	$654.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.17 / $324.20 / $401.28	Facility		$270.17	$324.20	$401.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $297.19 / $383.31	Professional		$297.19	$297.19	$383.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $414.64 / $602.65	Professional		$279.39	$414.64	$602.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,085.23 / $2,085.23 / $4,877.89	Facility		$2,085.23	$2,085.23	$4,877.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $414.72 / $621.40	Professional		$279.39	$414.72	$621.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.92 / $319.56 / $424.78	Professional		$240.92	$319.56	$424.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.56 / $356.71 / $635.49	Professional		$276.56	$356.71	$635.49