Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.38 / $2,785.00 / $9,516.00	Facility		$659.38	$2,785.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.46 / $708.87 / $1,250.83	Professional		$526.46	$708.87	$1,250.83
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 $488.46 / $678.76 / $1,174.44	Professional		$488.46	$678.76	$1,174.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $582.94 / $848.83 / $848.83	Facility		$582.94	$848.83	$848.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.02 / $783.28 / $783.28	Professional		$557.02	$783.28	$783.28
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 $537.22 / $797.52 / $1,314.46	Professional		$537.22	$797.52	$1,314.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,347.19 / $2,347.19 / $2,347.19	Facility		$2,347.19	$2,347.19	$2,347.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $600.08 / $868.72 / $1,276.86	Professional		$600.08	$868.72	$1,276.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $567.62 / $956.88	Professional		$75.89	$567.62	$956.88
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 $594.94 / $793.93 / $1,443.30	Professional		$594.94	$793.93	$1,443.30