Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.53 / $4,886.00 / $11,581.00	Facility		$451.53	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.35 / $451.53 / $1,058.95	Professional		$386.35	$451.53	$1,058.95
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 $296.85 / $404.52 / $781.24	Professional		$296.85	$404.52	$781.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $483.81 / $593.13 / $725.72	Facility		$483.81	$593.13	$725.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.77 / $520.09 / $811.34	Professional		$363.77	$520.09	$811.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.12 / $511.97 / $21,571.00	Facility		$459.12	$511.97	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.16 / $521.13 / $904.23	Professional		$372.16	$521.13	$904.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $459.12 / $459.12 / $511.97	Facility		$459.12	$459.12	$511.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $372.16 / $528.32 / $797.94	Professional		$372.16	$528.32	$797.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $224.69 / $536.58	Professional		$69.83	$224.69	$536.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,474.00 / $4,951.00	Facility		$1,368.00	$2,474.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.72 / $503.57 / $960.64	Professional		$383.72	$503.57	$960.64