Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.13 / $9,496.00 / $11,627.00	Facility		$897.13	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.94 / $897.13 / $7,943.92	Professional		$659.94	$897.13	$7,943.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.39 / $1,431.57 / $2,284.21	Professional		$1,099.39	$1,431.57	$2,284.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.17 / $10,656.76 / $20,373.21	Facility		$766.17	$10,656.76	$20,373.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $799.26 / $11,988.85 / $21,156.80	Professional		$799.26	$11,988.85	$21,156.80
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,046.38 / $1,046.38 / $1,046.38	Facility		$1,046.38	$1,046.38	$1,046.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,469.61 / $1,469.61 / $4,094.20	Professional		$1,469.61	$1,469.61	$4,094.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.56 / $1,256.94 / $1,932.34	Professional		$787.56	$1,256.94	$1,932.34