Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.78 / $4,197.00 / $10,305.77	Facility		$602.78	$4,197.00	$10,305.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.70 / $648.79 / $1,155.52	Professional		$488.70	$648.79	$1,155.52
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 $462.11 / $640.94 / $1,110.94	Professional		$462.11	$640.94	$1,110.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.63 / $790.14 / $790.14	Facility		$542.63	$790.14	$790.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.20 / $717.76 / $717.76	Professional		$508.20	$717.76	$717.76
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 $497.41 / $731.23 / $1,232.95	Professional		$497.41	$731.23	$1,232.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $866.25 / $866.25 / $866.25	Facility		$866.25	$866.25	$866.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $558.59 / $798.21 / $1,207.73	Professional		$558.59	$798.21	$1,207.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $508.55 / $876.15	Professional		$74.20	$508.55	$876.15
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 $540.28 / $725.29 / $1,243.99	Professional		$540.28	$725.29	$1,243.99