Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.73 / $2,606.00 / $9,534.00	Facility		$433.73	$2,606.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $512.66 / $3,371.02	Professional		$236.08	$512.66	$3,371.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.82 / $436.31 / $1,996.52	Professional		$255.82	$436.31	$1,996.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.20 / $270.24 / $334.48	Facility		$225.20	$270.24	$334.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.50 / $2,177.35 / $2,573.23	Professional		$281.50	$2,177.35	$2,573.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $763.40 / $1,287.90	Facility		$406.07	$763.40	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.76 / $633.37 / $3,867.86	Professional		$254.76	$633.37	$3,867.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $763.40 / $959.43	Facility		$530.00	$763.40	$959.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $258.98 / $649.04 / $3,845.00	Professional		$258.98	$649.04	$3,845.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,858.45 / $2,471.59 / $3,402.28	Professional		$1,858.45	$2,471.59	$3,402.28
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.01 / $2,895.47 / $5,445.23	Professional		$555.01	$2,895.47	$5,445.23