Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.06 / $2,646.00 / $8,956.00	Facility		$237.06	$2,646.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $227.58 / $432.67	Professional		$159.41	$227.58	$432.67
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 $144.75 / $227.28 / $388.93	Professional		$144.75	$227.28	$388.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.42 / $256.89 / $256.89	Facility		$176.42	$256.89	$256.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $268.06 / $268.06	Professional		$193.52	$268.06	$268.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $274.73 / $438.93	Professional		$181.62	$274.73	$438.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,368.44 / $2,368.44 / $2,368.44	Facility		$2,368.44	$2,368.44	$2,368.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $184.53 / $283.33 / $430.40	Professional		$184.53	$283.33	$430.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.45 / $256.76 / $375.17	Professional		$178.45	$256.76	$375.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,201.61 / $2,205.00 / $4,922.00	Facility		$1,201.61	$2,205.00	$4,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.65 / $283.33 / $487.44	Professional		$215.65	$283.33	$487.44