Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.92 / $2,466.00 / $9,516.00	Facility		$546.92	$2,466.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.59 / $579.85 / $937.98	Professional		$456.59	$579.85	$937.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.40 / $852.29 / $1,448.05	Professional		$616.40	$852.29	$1,448.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $506.64 / $737.73 / $737.73	Facility		$506.64	$737.73	$737.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.04 / $652.04 / $680.71	Professional		$652.04	$652.04	$680.71
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 $464.41 / $711.37 / $1,268.51	Professional		$464.41	$711.37	$1,268.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $418.00 / $418.00	Facility		$418.00	$418.00	$418.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $503.57 / $736.85 / $1,344.50	Professional		$503.57	$736.85	$1,344.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $472.84 / $792.04	Professional		$74.25	$472.84	$792.04
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 $523.74 / $681.67 / $1,144.66	Professional		$523.74	$681.67	$1,144.66