Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.61 / $3,523.00 / $8,014.46	Facility		$399.61	$3,523.00	$8,014.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.07 / $402.85 / $800.00	Professional		$235.07	$402.85	$800.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.82 / $398.12 / $785.06	Professional		$199.82	$398.12	$785.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.26 / $271.58 / $322.68	Facility		$217.26	$271.58	$322.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $398.13 / $696.10	Professional		$336.88	$398.13	$696.10
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 $232.85 / $377.72 / $703.12	Professional		$232.85	$377.72	$703.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,637.66 / $2,926.91 / $5,357.16	Facility		$1,637.66	$2,926.91	$5,357.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $238.99 / $395.06 / $710.61	Professional		$238.99	$395.06	$710.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $280.85 / $423.01	Professional		$33.13	$280.85	$423.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,351.00	Facility		$2,647.00	$4,404.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.95 / $465.55 / $728.87	Professional		$339.95	$465.55	$728.87