Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.31 / $2,485.00 / $10,635.00	Facility		$479.31	$2,485.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.27 / $347.26 / $746.85	Professional		$312.27	$347.26	$746.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,059.00 / $2,550.00	Facility		$711.00	$2,059.00	$2,550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.22 / $434.93 / $674.64	Professional		$312.22	$434.93	$674.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.20 / $349.32 / $508.66	Facility		$320.20	$349.32	$508.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.72 / $376.72 / $479.46	Professional		$376.72	$376.72	$479.46
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 $359.60 / $500.14 / $703.65	Professional		$359.60	$500.14	$703.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $409.86 / $409.86	Facility		$409.86	$409.86	$409.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $373.09 / $511.55 / $703.65	Professional		$373.09	$511.55	$703.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.37 / $363.28 / $502.92	Professional		$276.37	$363.28	$502.92
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.67 / $462.33 / $696.32	Professional		$295.67	$462.33	$696.32