Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.40 / $2,040.00 / $10,268.00	Facility		$354.40	$2,040.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $398.83 / $728.54	Professional		$209.95	$398.83	$728.54
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 $154.38 / $218.36 / $377.18	Professional		$154.38	$218.36	$377.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.35 / $270.95 / $338.90	Facility		$213.35	$270.95	$338.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.29 / $480.49 / $611.53	Professional		$379.29	$480.49	$611.53
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 $250.14 / $458.65 / $766.84	Professional		$250.14	$458.65	$766.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.87 / $407.87 / $407.87	Facility		$407.87	$407.87	$407.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $261.79 / $460.78 / $768.86	Professional		$261.79	$460.78	$768.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $416.67 / $623.15	Professional		$32.56	$416.67	$623.15
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 $337.45 / $541.04 / $795.48	Professional		$337.45	$541.04	$795.48