Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.44 / $2,547.00 / $10,365.79	Facility		$512.44	$2,547.00	$10,365.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.61 / $344.61 / $1,028.04	Professional		$344.61	$344.61	$1,028.04
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 $219.35 / $314.83 / $548.04	Professional		$219.35	$314.83	$548.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.55 / $397.86 / $492.44	Facility		$331.55	$397.86	$492.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.69 / $364.71 / $364.71	Professional		$262.69	$364.71	$364.71
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 $282.17 / $431.02 / $659.42	Professional		$282.17	$431.02	$659.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,445.79 / $5,445.79 / $5,445.79	Facility		$5,445.79	$5,445.79	$5,445.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $450.71 / $684.54	Professional		$287.52	$450.71	$684.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $339.60 / $506.03	Professional		$75.93	$339.60	$506.03
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 $279.48 / $414.60 / $790.88	Professional		$279.48	$414.60	$790.88