Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.65 / $2,113.00 / $10,268.00	Facility		$524.65	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.90 / $566.79 / $1,592.79	Professional		$492.90	$566.79	$1,592.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $924.50 / $1,600.86	Professional		$571.37	$924.50	$1,600.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.70 / $727.40 / $889.98	Facility		$359.70	$727.40	$889.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.32 / $604.03 / $942.29	Professional		$504.32	$604.03	$942.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $295.51 / $21,571.00	Facility		$265.00	$295.51	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.51 / $676.51 / $1,442.40	Professional		$434.51	$676.51	$1,442.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $265.00 / $265.00 / $295.51	Facility		$265.00	$265.00	$295.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $442.11 / $695.88 / $1,512.42	Professional		$442.11	$695.88	$1,512.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $356.51 / $625.73	Professional		$75.28	$356.51	$625.73
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,813.00 / $3,923.00	Facility		$745.00	$1,813.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.72 / $707.38 / $1,293.04	Professional		$490.72	$707.38	$1,293.04