Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.60 / $2,181.00 / $9,504.00	Facility		$353.60	$2,181.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $349.33 / $645.97	Professional		$237.56	$349.33	$645.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.57 / $273.50 / $439.51	Professional		$203.57	$273.50	$439.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.98 / $251.98 / $366.91	Facility		$230.98	$251.98	$366.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.22 / $378.05 / $481.15	Professional		$274.22	$378.05	$481.15
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 $285.37 / $408.98 / $644.46	Professional		$285.37	$408.98	$644.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $441.64 / $441.64 / $1,366.50	Facility		$441.64	$441.64	$1,366.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $293.97 / $413.09 / $641.91	Professional		$293.97	$413.09	$641.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $225.94 / $441.89	Professional		$34.85	$225.94	$441.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.14 / $414.08 / $650.65	Professional		$280.14	$414.08	$650.65