Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.12 / $2,547.00 / $10,635.00	Facility		$340.12	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.71 / $273.61 / $840.01	Professional		$223.71	$273.61	$840.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $284.19 / $472.97	Professional		$210.99	$284.19	$472.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.75 / $249.54 / $363.37	Facility		$228.75	$249.54	$363.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.12 / $269.12 / $342.51	Professional		$269.12	$269.12	$342.51
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 $256.88 / $374.08 / $619.23	Professional		$256.88	$374.08	$619.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $293.24	Facility		$293.24	$293.24	$293.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $375.84 / $551.36	Professional		$260.08	$375.84	$551.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $250.68 / $358.87	Professional		$192.29	$250.68	$358.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.15 / $370.94 / $732.70	Professional		$229.15	$370.94	$732.70