Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.74 / $1,967.00 / $9,516.00	Facility		$259.74	$1,967.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.48 / $259.74 / $492.72	Professional		$194.48	$259.74	$492.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.98 / $262.72 / $490.38	Professional		$184.98	$262.72	$490.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.77 / $226.52 / $280.38	Facility		$188.77	$226.52	$280.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.63 / $274.75 / $274.75	Professional		$231.63	$274.75	$274.75
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 $216.21 / $320.27 / $539.71	Professional		$216.21	$320.27	$539.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,026.08 / $1,026.08 / $1,026.08	Facility		$1,026.08	$1,026.08	$1,026.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $226.52 / $331.74 / $534.50	Professional		$226.52	$331.74	$534.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $240.02 / $365.37	Professional		$36.09	$240.02	$365.37
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 $261.17 / $345.42 / $572.11	Professional		$261.17	$345.42	$572.11