Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.49 / $2,849.00 / $10,268.00	Facility		$462.49	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $462.49 / $1,063.09	Professional		$390.82	$462.49	$1,063.09
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 $310.85 / $436.16 / $808.02	Professional		$310.85	$436.16	$808.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.44 / $600.03 / $1,289.18	Facility		$489.44	$600.03	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.66 / $532.49 / $830.69	Professional		$409.66	$532.49	$830.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $949.77 / $21,571.00	Facility		$675.54	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.10 / $545.91 / $914.88	Professional		$378.10	$545.91	$914.88
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 $378.10 / $546.00 / $825.30	Professional		$378.10	$546.00	$825.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $313.84 / $559.81	Professional		$36.68	$313.84	$559.81
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 $392.10 / $495.25 / $978.22	Professional		$392.10	$495.25	$978.22