Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.88 / $4,934.00 / $11,581.00	Facility		$401.88	$4,934.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $250.37 / $443.03	Professional		$231.05	$250.37	$443.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $2,443.00 / $8,800.00	Facility		$919.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.41 / $264.94 / $432.62	Professional		$199.41	$264.94	$432.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.21 / $279.85 / $346.37	Facility		$233.21	$279.85	$346.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.09 / $256.52 / $303.17	Professional		$248.09	$256.52	$303.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $1,935.02 / $2,837.31	Facility		$280.11	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.85 / $326.49 / $485.48	Professional		$240.85	$326.49	$485.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,935.02 / $2,113.67	Facility		$600.00	$1,935.02	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $244.44 / $333.54 / $474.88	Professional		$244.44	$333.54	$474.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $241.07 / $338.32	Professional		$182.14	$241.07	$338.32
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $285.05 / $486.25	Professional		$211.36	$285.05	$486.25