Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $3,445.00 / $8,553.00	Facility		$243.89	$3,445.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $277.64 / $689.63	Professional		$140.12	$277.64	$689.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $370.34 / $864.45	Professional		$128.88	$370.34	$864.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $159.24 / $197.09	Facility		$132.69	$159.24	$197.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $353.42 / $353.42	Professional		$282.81	$353.42	$353.42
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 $145.97 / $315.89 / $637.78	Professional		$145.97	$315.89	$637.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,764.71 / $2,713.20 / $3,114.20	Facility		$1,764.71	$2,713.20	$3,114.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $353.06 / $661.67	Professional		$153.86	$353.06	$661.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.14 / $422.97 / $576.41	Professional		$311.14	$422.97	$576.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.24 / $506.17 / $810.57	Professional		$351.24	$506.17	$810.57