Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.44 / $3,027.00 / $8,956.00	Facility		$335.44	$3,027.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.90 / $339.52 / $600.42	Professional		$224.90	$339.52	$600.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $351.14 / $584.00	Professional		$224.96	$351.14	$584.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.73 / $365.08 / $365.08	Facility		$250.73	$365.08	$365.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.58 / $398.11 / $398.11	Professional		$323.58	$398.11	$398.11
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 $237.31 / $385.07 / $656.37	Professional		$237.31	$385.07	$656.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,034.25 / $2,034.25 / $6,510.00	Facility		$2,034.25	$2,034.25	$6,510.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $258.10 / $405.35 / $653.42	Professional		$258.10	$405.35	$653.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $350.25 / $482.42 / $662.55	Professional		$350.25	$482.42	$662.55
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 $321.24 / $421.07 / $703.96	Professional		$321.24	$421.07	$703.96