Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.50 / $2,785.00 / $9,516.00	Facility		$409.50	$2,785.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $404.01 / $712.21	Professional		$268.37	$404.01	$712.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $233.71 / $417.50	Professional		$158.91	$233.71	$417.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $256.89 / $280.25 / $408.08	Facility		$256.89	$280.25	$408.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.62 / $437.06 / $556.26	Professional		$342.62	$437.06	$556.26
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 $313.87 / $456.93 / $726.25	Professional		$313.87	$456.93	$726.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $494.28 / $494.28 / $494.28	Facility		$494.28	$494.28	$494.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $321.92 / $472.82 / $716.35	Professional		$321.92	$472.82	$716.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $283.94 / $469.85	Professional		$34.31	$283.94	$469.85
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 $337.88 / $523.57 / $862.89	Professional		$337.88	$523.57	$862.89