Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.17 / $3,602.00 / $9,516.00	Facility		$641.17	$3,602.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.90 / $387.72 / $1,003.27	Professional		$384.90	$387.72	$1,003.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.66 / $455.45 / $816.28	Professional		$343.66	$455.45	$816.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.83 / $427.00 / $528.49	Facility		$355.83	$427.00	$528.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.41 / $391.41 / $426.68	Professional		$391.41	$391.41	$426.68
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 $302.10 / $498.16 / $758.28	Professional		$302.10	$498.16	$758.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,183.90 / $3,183.90 / $4,127.59	Facility		$3,183.90	$3,183.90	$4,127.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.83 / $528.08 / $757.68	Professional		$355.83	$528.08	$757.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $366.94 / $518.26	Professional		$42.05	$366.94	$518.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.55 / $484.95 / $826.47	Professional		$352.55	$484.95	$826.47