Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.59 / $2,678.00 / $9,516.00	Facility		$334.59	$2,678.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $210.85 / $498.32	Professional		$190.53	$210.85	$498.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $205.02 / $344.93	Professional		$145.22	$205.02	$344.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $229.25 / $283.74	Facility		$191.04	$229.25	$283.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.88 / $210.14 / $210.14	Professional		$186.88	$210.14	$210.14
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 $185.58 / $261.47 / $392.79	Professional		$185.58	$261.47	$392.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,003.22 / $1,003.22 / $10,638.60	Facility		$1,003.22	$1,003.22	$10,638.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $267.45 / $395.59	Professional		$194.53	$267.45	$395.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $193.52 / $286.19	Professional		$131.35	$193.52	$286.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.09 / $245.99 / $413.08	Professional		$175.09	$245.99	$413.08