Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $2,519.10 / $9,504.00	Facility		$458.33	$2,519.10	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.23 / $458.33 / $869.45	Professional		$271.23	$458.33	$869.45
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 $247.78 / $439.37 / $819.20	Professional		$247.78	$439.37	$819.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.32 / $308.77 / $382.19	Facility		$257.32	$308.77	$382.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.91 / $457.12 / $457.12	Professional		$389.91	$457.12	$457.12
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 $279.02 / $488.91 / $862.80	Professional		$279.02	$488.91	$862.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,251.74 / $3,251.74 / $3,251.74	Facility		$3,251.74	$3,251.74	$3,251.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $492.96 / $869.22	Professional		$283.06	$492.96	$869.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $546.55 / $729.96	Professional		$416.00	$546.55	$729.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.24 / $3,724.00 / $6,238.00	Facility		$1,519.24	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.79 / $578.54 / $997.57	Professional		$422.79	$578.54	$997.57