Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.19 / $3,785.00 / $9,516.00	Facility		$811.19	$3,785.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.13 / $881.08 / $1,498.98	Professional		$657.13	$881.08	$1,498.98
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 $672.27 / $930.83 / $1,642.72	Professional		$672.27	$930.83	$1,642.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $730.36 / $1,063.49 / $1,063.49	Facility		$730.36	$1,063.49	$1,063.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $785.68 / $947.11 / $947.11	Professional		$785.68	$947.11	$947.11
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 $669.66 / $999.11 / $1,686.83	Professional		$669.66	$999.11	$1,686.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,604.79 / $2,604.79 / $2,604.79	Facility		$2,604.79	$2,604.79	$2,604.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $751.83 / $1,073.32 / $1,587.76	Professional		$751.83	$1,073.32	$1,587.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $669.45 / $1,148.18	Professional		$111.35	$669.45	$1,148.18
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 $742.55 / $990.16 / $1,663.41	Professional		$742.55	$990.16	$1,663.41