Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.74 / $5,597.00 / $11,627.00	Facility		$624.74	$5,597.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.51 / $396.24 / $918.07	Professional		$347.51	$396.24	$918.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $393.36 / $640.65	Professional		$285.77	$393.36	$640.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.37 / $395.32 / $575.65	Facility		$362.37	$395.32	$575.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.79 / $426.33 / $542.60	Professional		$331.79	$426.33	$542.60
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 $385.90 / $534.59 / $746.57	Professional		$385.90	$534.59	$746.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $464.98 / $464.98 / $464.98	Facility		$464.98	$464.98	$464.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $402.96 / $542.60 / $746.57	Professional		$402.96	$542.60	$746.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $359.19 / $529.28	Professional		$67.21	$359.19	$529.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.48 / $488.89 / $747.42	Professional		$320.48	$488.89	$747.42