Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.19 / $2,849.00 / $10,268.00	Facility		$700.19	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.85 / $700.19 / $1,589.95	Professional		$606.85	$700.19	$1,589.95
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 $601.92 / $787.21 / $1,425.90	Professional		$601.92	$787.21	$1,425.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.39 / $984.92 / $984.92	Facility		$676.39	$984.92	$984.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $789.92 / $837.39 / $837.39	Professional		$789.92	$837.39	$837.39
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 $609.04 / $913.51 / $1,459.65	Professional		$609.04	$913.51	$1,459.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,173.94 / $2,173.94 / $2,173.94	Facility		$2,173.94	$2,173.94	$2,173.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.79 / $989.64 / $1,416.33	Professional		$660.79	$989.64	$1,416.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $570.85 / $970.81	Professional		$75.89	$570.85	$970.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,725.00 / $2,740.00 / $5,457.00	Facility		$1,725.00	$2,740.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.55 / $865.50 / $1,388.45	Professional		$654.55	$865.50	$1,388.45