Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.73 / $1,812.90 / $8,527.04	Facility		$300.73	$1,812.90	$8,527.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $201.13 / $416.72	Professional		$153.54	$201.13	$416.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.78 / $227.18 / $443.20	Professional		$188.78	$227.18	$443.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.44 / $204.30 / $242.75	Facility		$163.44	$204.30	$242.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $212.47 / $384.44	Professional		$179.78	$212.47	$384.44
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 $187.95 / $256.55 / $411.83	Professional		$187.95	$256.55	$411.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $724.56 / $1,617.72 / $2,674.57	Facility		$724.56	$1,617.72	$2,674.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $188.06 / $260.89 / $407.73	Professional		$188.06	$260.89	$407.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.50 / $197.08 / $264.50	Professional		$146.50	$197.08	$264.50
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.77 / $264.13 / $407.68	Professional		$171.77	$264.13	$407.68