Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.25 / $1,967.00 / $9,534.00	Facility		$295.25	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.21 / $317.07 / $566.84	Professional		$238.21	$317.07	$566.84
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 $245.96 / $351.01 / $606.17	Professional		$245.96	$351.01	$606.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.77 / $385.56 / $385.56	Facility		$264.77	$385.56	$385.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $298.51 / $352.00 / $352.00	Professional		$298.51	$352.00	$352.00
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 $242.72 / $378.93 / $627.41	Professional		$242.72	$378.93	$627.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $344.40 / $717.55 / $3,862.06	Facility		$344.40	$717.55	$3,862.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $272.57 / $393.82 / $627.41	Professional		$272.57	$393.82	$627.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $231.64 / $404.02	Professional		$36.34	$231.64	$404.02
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 $277.50 / $367.00 / $584.90	Professional		$277.50	$367.00	$584.90