Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.77 / $2,432.00 / $9,504.00	Facility		$279.77	$2,432.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $468.00 / $1,058.26	Professional		$152.88	$468.00	$1,058.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $296.93 / $1,057.76	Professional		$141.80	$296.93	$1,057.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $194.98 / $209.24	Facility		$133.91	$194.98	$209.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.69 / $633.74 / $988.64	Professional		$557.69	$633.74	$988.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $21,571.00	Facility		$235.63	$235.63	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $399.59 / $1,083.59	Professional		$156.65	$399.59	$1,083.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $235.63 / $634.70	Facility		$235.63	$235.63	$634.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.53 / $325.55 / $1,064.68	Professional		$157.53	$325.55	$1,064.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $469.96 / $619.28 / $868.25	Professional		$469.96	$619.28	$868.25
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.27 / $806.30 / $1,364.85	Professional		$542.27	$806.30	$1,364.85