Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.81 / $2,547.00 / $10,635.00	Facility		$418.81	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $302.06 / $561.23	Professional		$259.14	$302.06	$561.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,742.00 / $9,046.00 / $60,294.00	Facility		$2,742.00	$9,046.00	$60,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.74 / $328.50 / $528.57	Professional		$244.74	$328.50	$528.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.72 / $355.26 / $444.35	Facility		$279.72	$355.26	$444.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.24 / $329.09 / $418.84	Professional		$311.24	$329.09	$418.84
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 $304.49 / $418.84 / $576.41	Professional		$304.49	$418.84	$576.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $357.11	Facility		$357.11	$357.11	$357.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $314.13 / $418.84 / $576.41	Professional		$314.13	$418.84	$576.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $241.42 / $382.02	Professional		$63.99	$241.42	$382.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,707.00 / $16,745.00	Facility		$4,873.00	$10,707.00	$16,745.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.79 / $383.93 / $637.09	Professional		$242.79	$383.93	$637.09