Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.00 / $3,325.00 / $10,635.00	Facility		$609.00	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.90 / $408.23 / $1,314.23	Professional		$355.90	$408.23	$1,314.23
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 $310.39 / $419.37 / $747.54	Professional		$310.39	$419.37	$747.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $490.32 / $601.11 / $1,289.18	Facility		$490.32	$601.11	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $471.46 / $735.48	Professional		$351.10	$471.46	$735.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.45 / $949.77 / $21,571.00	Facility		$457.45	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $519.36 / $812.44	Professional		$341.00	$519.36	$812.44
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 $342.40 / $519.36 / $763.00	Professional		$342.40	$519.36	$763.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $356.91 / $537.29	Professional		$72.25	$356.91	$537.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,321.00 / $7,351.00	Facility		$2,233.00	$4,321.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.70 / $437.73 / $914.80	Professional		$349.70	$437.73	$914.80