Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.55 / $4,723.00 / $11,627.00	Facility		$241.55	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $241.55 / $450.19	Professional		$220.91	$241.55	$450.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $264.14 / $438.69	Professional		$203.19	$264.14	$438.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.96 / $277.14 / $343.03	Facility		$230.96	$277.14	$343.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $254.06 / $300.25	Professional		$254.06	$254.06	$300.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $276.41 / $21,571.00	Facility		$276.41	$276.41	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.51 / $330.97 / $496.06	Professional		$242.51	$330.97	$496.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $276.41 / $600.00	Facility		$276.41	$276.41	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $247.90 / $338.64 / $491.75	Professional		$247.90	$338.64	$491.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $272.35 / $365.86	Professional		$205.02	$272.35	$365.86
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.59 / $299.73 / $533.28	Professional		$211.59	$299.73	$533.28