Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.88 / $4,947.00 / $11,581.00	Facility		$770.88	$4,947.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.76 / $465.85 / $883.71	Professional		$444.76	$465.85	$883.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.07 / $484.32 / $823.23	Professional		$349.07	$484.32	$823.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $429.29 / $515.15 / $804.92	Facility		$429.29	$515.15	$804.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $472.22 / $472.22 / $837.12	Professional		$472.22	$472.22	$837.12
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 $390.36 / $601.01 / $917.72	Professional		$390.36	$601.01	$917.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,764.69 / $2,764.69 / $2,764.69	Facility		$2,764.69	$2,764.69	$2,764.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $403.16 / $642.08 / $886.68	Professional		$403.16	$642.08	$886.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $448.97 / $650.22	Professional		$75.93	$448.97	$650.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,549.42 / $3,724.00 / $6,238.00	Facility		$2,549.42	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $573.01 / $946.72	Professional		$411.98	$573.01	$946.72