Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.02 / $2,547.00 / $10,268.00	Facility		$918.02	$2,547.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.72 / $543.46 / $1,286.88	Professional		$468.72	$543.46	$1,286.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,287.00 / $14,996.00	Facility		$1,622.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.45 / $567.19 / $919.65	Professional		$430.45	$567.19	$919.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.95 / $503.94 / $733.80	Facility		$461.95	$503.94	$733.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.07 / $543.47 / $691.68	Professional		$422.07	$543.47	$691.68
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 $512.49 / $716.38 / $1,042.50	Professional		$512.49	$716.38	$1,042.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $591.09 / $591.09 / $591.09	Facility		$591.09	$591.09	$591.09
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $58.83 / $58.83 / $58.83	Facility	AS	$58.83	$58.83	$58.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $518.76 / $726.26 / $1,023.23	Professional		$518.76	$726.26	$1,023.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $367.98 / $604.13	Professional		$71.16	$367.98	$604.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.11 / $653.92 / $1,072.63	Professional		$415.11	$653.92	$1,072.63