Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.23 / $1,486.00 / $9,504.00	Facility		$331.23	$1,486.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.23 / $331.23 / $570.78	Professional		$209.23	$331.23	$570.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.15 / $285.69 / $533.03	Professional		$184.15	$285.69	$533.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.24 / $338.16 / $338.16	Facility		$232.24	$338.16	$338.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.74 / $392.41 / $392.41	Professional		$285.74	$392.41	$392.41
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 $239.06 / $362.23 / $624.29	Professional		$239.06	$362.23	$624.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,430.77 / $1,430.77 / $1,430.77	Facility		$1,430.77	$1,430.77	$1,430.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $374.19 / $596.91	Professional		$240.48	$374.19	$596.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $372.08 / $568.03	Professional		$33.75	$372.08	$568.03
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.55 / $398.07 / $659.18	Professional		$298.55	$398.07	$659.18