Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.95 / $3,027.00 / $9,516.00	Facility		$261.95	$3,027.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $154.81 / $425.13	Professional		$153.44	$154.81	$425.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $192.51 / $317.60	Professional		$135.32	$192.51	$317.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $177.98 / $220.30	Facility		$148.32	$177.98	$220.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $163.15 / $190.30	Professional		$163.15	$163.15	$190.30
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 $159.99 / $228.99 / $341.14	Professional		$159.99	$228.99	$341.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,478.47 / $1,949.11 / $2,837.76	Facility		$1,478.47	$1,949.11	$2,837.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $229.90 / $354.00	Professional		$163.15	$229.90	$354.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $197.08 / $264.50	Professional		$146.80	$197.08	$264.50
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 $138.43 / $198.87 / $335.97	Professional		$138.43	$198.87	$335.97