Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.00 / $3,325.00 / $10,870.16	Facility		$992.00	$3,325.00	$10,870.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.47 / $838.40 / $1,361.70	Professional		$682.47	$838.40	$1,361.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.79 / $774.90 / $1,318.71	Professional		$606.79	$774.90	$1,318.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $768.62 / $1,119.22 / $1,119.22	Facility		$768.62	$1,119.22	$1,119.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $636.47 / $828.91 / $828.91	Professional		$636.47	$828.91	$828.91
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 $704.57 / $991.47 / $1,612.60	Professional		$704.57	$991.47	$1,612.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,553.17 / $3,167.37 / $3,893.53	Facility		$2,553.17	$3,167.37	$3,893.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $738.48 / $1,053.53 / $1,566.03	Professional		$738.48	$1,053.53	$1,566.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $584.02 / $979.15	Professional		$75.89	$584.02	$979.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.87 / $835.37 / $1,405.79	Professional		$638.87	$835.37	$1,405.79