Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $2,785.00 / $9,534.00	Facility		$264.39	$2,785.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $263.73 / $487.12	Professional		$169.97	$263.73	$487.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.63 / $281.76 / $469.55	Professional		$177.63	$281.76	$469.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.84 / $272.06 / $272.06	Facility		$186.84	$272.06	$272.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.27 / $309.44 / $309.44	Professional		$232.27	$309.44	$309.44
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 $179.52 / $302.25 / $519.09	Professional		$179.52	$302.25	$519.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,332.57 / $1,332.57 / $1,332.57	Facility		$1,332.57	$1,332.57	$1,332.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $309.64 / $514.95	Professional		$183.18	$309.64	$514.95
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 $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.43 / $338.39 / $550.36	Professional		$257.43	$338.39	$550.36