Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.38 / $3,696.00 / $9,863.00	Facility		$752.38	$3,696.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.40 / $810.84 / $1,419.01	Professional		$611.40	$810.84	$1,419.01
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 $616.16 / $839.95 / $1,493.65	Professional		$616.16	$839.95	$1,493.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $679.68 / $989.71 / $989.71	Facility		$679.68	$989.71	$989.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $672.96 / $889.55 / $889.55	Professional		$672.96	$889.55	$889.55
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 $623.04 / $927.33 / $1,551.53	Professional		$623.04	$927.33	$1,551.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,623.85 / $4,623.85 / $20,277.90	Facility		$4,623.85	$4,623.85	$20,277.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $699.67 / $986.59 / $1,492.77	Professional		$699.67	$986.59	$1,492.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $632.34 / $1,068.12	Professional		$111.35	$632.34	$1,068.12
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 $682.94 / $906.07 / $1,480.92	Professional		$682.94	$906.07	$1,480.92