Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.26 / $6,251.00 / $11,581.00	Facility		$394.26	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.53 / $268.54 / $636.33	Professional		$240.53	$268.54	$636.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $2,170.00 / $5,825.00	Facility		$1,047.00	$2,170.00	$5,825.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.52 / $336.80 / $546.01	Professional		$242.52	$336.80	$546.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.24 / $264.26 / $384.80	Facility		$242.24	$264.26	$384.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $284.99 / $284.99 / $362.71	Professional		$284.99	$284.99	$362.71
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 $273.32 / $380.85 / $554.42	Professional		$273.32	$380.85	$554.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $310.14 / $310.14 / $310.14	Facility		$310.14	$310.14	$310.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $284.17 / $398.35 / $548.76	Professional		$284.17	$398.35	$548.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.88 / $326.08 / $452.05	Professional		$248.88	$326.08	$452.05
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.69 / $344.93 / $566.07	Professional		$228.69	$344.93	$566.07