Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.87 / $3,966.00 / $9,863.00	Facility		$303.87	$3,966.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.11 / $303.87 / $576.44	Professional		$260.11	$303.87	$576.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $233.61 / $403.22	Professional		$160.68	$233.61	$403.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.36 / $272.02 / $396.11	Facility		$249.36	$272.02	$396.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.25 / $328.04 / $417.51	Professional		$262.25	$328.04	$417.51
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 $282.54 / $413.37 / $578.30	Professional		$282.54	$413.37	$578.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $480.02 / $480.02 / $480.02	Facility		$480.02	$480.02	$480.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $282.54 / $413.37 / $587.12	Professional		$282.54	$413.37	$587.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $229.60 / $359.82	Professional		$67.08	$229.60	$359.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $387.91 / $627.94	Professional		$259.58	$387.91	$627.94