Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.36 / $2,849.00 / $10,268.00	Facility		$518.36	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.79 / $494.06 / $1,017.95	Professional		$338.79	$494.06	$1,017.95
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 $243.56 / $420.19 / $838.48	Professional		$243.56	$420.19	$838.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.33 / $515.30 / $1,289.18	Facility		$420.33	$515.30	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.28 / $590.91 / $921.83	Professional		$357.28	$590.91	$921.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.15 / $949.77 / $21,571.00	Facility		$581.15	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.90 / $521.34 / $929.04	Professional		$334.90	$521.34	$929.04
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 $339.49 / $530.33 / $873.28	Professional		$339.49	$530.33	$873.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $345.26 / $626.17	Professional		$36.68	$345.26	$626.17
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 $426.65 / $546.44 / $1,095.32	Professional		$426.65	$546.44	$1,095.32