Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.94 / $4,723.00 / $11,627.00	Facility		$467.94	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.92 / $486.86 / $887.08	Professional		$438.92	$486.86	$887.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,257.64 / $4,808.00 / $8,800.00	Facility		$2,257.64	$4,808.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.61 / $546.17 / $858.08	Professional		$377.61	$546.17	$858.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $465.08 / $507.36 / $738.78	Facility		$465.08	$507.36	$738.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $547.15 / $547.15 / $696.37	Professional		$547.15	$547.15	$696.37
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 $491.00 / $687.12 / $962.81	Professional		$491.00	$687.12	$962.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $592.54 / $592.54	Facility		$592.54	$592.54	$592.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $507.96 / $696.38 / $962.81	Professional		$507.96	$696.38	$962.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $468.53 / $695.54	Professional		$67.08	$468.53	$695.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.88 / $625.54 / $976.73	Professional		$410.88	$625.54	$976.73