Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.23 / $1,383.00 / $11,627.00	Facility		$320.23	$1,383.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.52 / $425.40 / $807.75	Professional		$279.52	$425.40	$807.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.46 / $386.36 / $752.28	Professional		$228.46	$386.36	$752.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.64 / $429.87 / $1,289.18	Facility		$350.64	$429.87	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $298.04 / $506.59 / $790.28	Professional		$298.04	$506.59	$790.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.81 / $949.77 / $21,571.00	Facility		$483.81	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.17 / $437.32 / $807.84	Professional		$279.17	$437.32	$807.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $448.40 / $740.84	Professional		$283.20	$448.40	$740.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $310.93 / $538.17	Professional		$36.79	$310.93	$538.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.17 / $494.35 / $959.67	Professional		$390.17	$494.35	$959.67