Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.95 / $1,902.00 / $9,504.00	Facility		$255.95	$1,902.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $232.68 / $729.07	Professional		$190.83	$232.68	$729.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $243.24 / $406.77	Professional		$179.71	$243.24	$406.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.98 / $173.98 / $173.98	Facility		$173.98	$173.98	$173.98
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 $200.94 / $295.51 / $476.16	Professional		$200.94	$295.51	$476.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $846.43 / $853.11 / $1,159.18	Facility		$846.43	$853.11	$1,159.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $296.95 / $476.16	Professional		$213.98	$296.95	$476.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $316.56 / $422.40	Professional		$233.06	$316.56	$422.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.60 / $284.56 / $487.20	Professional		$207.60	$284.56	$487.20