Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.56 / $3,105.00 / $9,863.00	Facility		$697.56	$3,105.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.01 / $739.64 / $1,314.48	Professional		$566.01	$739.64	$1,314.48
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 $537.40 / $751.23 / $1,309.91	Professional		$537.40	$751.23	$1,309.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.15 / $914.69 / $914.69	Facility		$628.15	$914.69	$914.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $587.91 / $831.39 / $831.39	Professional		$587.91	$831.39	$831.39
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 $575.80 / $851.55 / $1,421.73	Professional		$575.80	$851.55	$1,421.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,635.43 / $3,635.43 / $3,635.43	Facility		$3,635.43	$3,635.43	$3,635.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $646.63 / $911.30 / $1,403.90	Professional		$646.63	$911.30	$1,403.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $568.00 / $983.17	Professional		$75.89	$568.00	$983.17
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 $596.02 / $824.65 / $1,375.98	Professional		$596.02	$824.65	$1,375.98