Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.82 / $2,297.00 / $7,751.30	Facility		$320.82	$2,297.00	$7,751.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $268.52 / $525.94	Professional		$187.81	$268.52	$525.94
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 $250.41 / $338.41 / $587.87	Professional		$250.41	$338.41	$587.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.65 / $265.81 / $310.20	Facility		$212.65	$265.81	$310.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $389.70 / $475.41	Professional		$292.89	$389.70	$475.41
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 $204.42 / $329.60 / $541.74	Professional		$204.42	$329.60	$541.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,898.85 / $2,473.78 / $3,879.54	Facility		$1,898.85	$2,473.78	$3,879.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $223.28 / $346.41 / $529.20	Professional		$223.28	$346.41	$529.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.76 / $372.16 / $514.66	Professional		$267.76	$372.16	$514.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $323.36 / $543.34	Professional		$258.69	$323.36	$543.34