Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.89 / $1,902.00 / $6,582.00	Facility		$522.89	$1,902.00	$6,582.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $522.89 / $1,557.03	Professional		$152.63	$522.89	$1,557.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $326.81 / $1,510.26	Professional		$148.86	$326.81	$1,510.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $188.51 / $273.83	Facility		$148.97	$188.51	$273.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $619.32 / $754.17 / $1,336.94	Professional		$619.32	$754.17	$1,336.94
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 $167.96 / $310.58 / $1,280.23	Professional		$167.96	$310.58	$1,280.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,590.42 / $5,097.64 / $10,051.35	Facility		$4,590.42	$5,097.64	$10,051.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $310.58 / $1,309.65	Professional		$178.19	$310.58	$1,309.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $645.46 / $850.97 / $1,162.05	Professional		$645.46	$850.97	$1,162.05
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.11 / $1,138.42 / $1,847.88	Professional		$814.11	$1,138.42	$1,847.88