Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.69 / $2,532.00 / $9,504.00	Facility		$455.69	$2,532.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.50 / $450.44 / $854.48	Professional		$325.50	$450.44	$854.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.07 / $373.60 / $681.41	Professional		$278.07	$373.60	$681.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.54 / $382.25 / $473.12	Facility		$318.54	$382.25	$473.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.01 / $479.72 / $479.72	Professional		$350.01	$479.72	$479.72
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 $337.25 / $532.05 / $866.77	Professional		$337.25	$532.05	$866.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,872.81 / $3,872.81 / $3,872.81	Facility		$3,872.81	$3,872.81	$3,872.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $366.32 / $558.23 / $866.77	Professional		$366.32	$558.23	$866.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $352.09 / $587.21	Professional		$38.30	$352.09	$587.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.53 / $570.79 / $983.15	Professional		$430.53	$570.79	$983.15