Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.07 / $3,602.00 / $11,627.00	Facility		$586.07	$3,602.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $401.01 / $772.66	Professional		$357.01	$401.01	$772.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,778.00 / $15,015.00 / $60,294.00	Facility		$2,778.00	$15,015.00	$60,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.74 / $419.16 / $692.16	Professional		$301.74	$419.16	$692.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.92 / $497.73 / $622.54	Facility		$391.92	$497.73	$622.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $461.08 / $586.82	Professional		$386.50	$461.08	$586.82
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 $416.92 / $551.83 / $796.40	Professional		$416.92	$551.83	$796.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $500.69 / $500.69 / $500.69	Facility		$500.69	$500.69	$500.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $419.16 / $565.86 / $796.40	Professional		$419.16	$565.86	$796.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $369.38 / $571.73	Professional		$63.99	$369.38	$571.73
United Facility/Professional Facility Modifier Low / Median / High Price $5,778.00 / $14,170.00 / $25,361.00	Facility		$5,778.00	$14,170.00	$25,361.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.27 / $523.76 / $838.53	Professional		$336.27	$523.76	$838.53