Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.95 / $3,999.00 / $10,268.00	Facility		$478.95	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.25 / $474.39 / $908.56	Professional		$305.25	$474.39	$908.56
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 $242.49 / $348.36 / $687.04	Professional		$242.49	$348.36	$687.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $481.41 / $1,289.18	Facility		$392.68	$481.41	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.78 / $544.79 / $849.89	Professional		$333.78	$544.79	$849.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.77 / $949.77 / $21,571.00	Facility		$541.77	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.42 / $478.65 / $860.57	Professional		$312.42	$478.65	$860.57
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 $317.16 / $479.43 / $811.69	Professional		$317.16	$479.43	$811.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $332.68 / $565.57	Professional		$36.79	$332.68	$565.57
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 $376.26 / $501.22 / $1,087.60	Professional		$376.26	$501.22	$1,087.60