Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.02 / $3,707.00 / $9,504.00	Facility		$989.02	$3,707.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.85 / $906.42 / $1,514.91	Professional		$685.85	$906.42	$1,514.91
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 $582.53 / $812.77 / $1,433.29	Professional		$582.53	$812.77	$1,433.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.32 / $1,107.13 / $1,107.13	Facility		$760.32	$1,107.13	$1,107.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $671.80 / $948.96 / $948.96	Professional		$671.80	$948.96	$948.96
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 $685.27 / $1,006.30 / $1,668.02	Professional		$685.27	$1,006.30	$1,668.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,309.61 / $6,309.61 / $6,309.61	Facility		$6,309.61	$6,309.61	$6,309.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $759.02 / $1,078.35 / $1,601.63	Professional		$759.02	$1,078.35	$1,601.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $660.64 / $1,114.18	Professional		$111.35	$660.64	$1,114.18
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 $723.20 / $957.46 / $1,630.54	Professional		$723.20	$957.46	$1,630.54