Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.46 / $2,547.00 / $10,635.00	Facility		$402.46	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.95 / $298.08 / $778.56	Professional		$219.95	$298.08	$778.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.31 / $302.10 / $504.67	Professional		$211.31	$302.10	$504.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $323.20 / $470.64	Facility		$296.27	$323.20	$470.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.05 / $348.56 / $443.62	Professional		$294.05	$348.56	$443.62
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 $283.67 / $408.77 / $602.05	Professional		$283.67	$408.77	$602.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $283.67 / $408.77 / $602.05	Professional		$283.67	$408.77	$602.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.11 / $364.50 / $509.86	Professional		$277.11	$364.50	$509.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.81 / $367.73 / $695.75	Professional		$214.81	$367.73	$695.75