Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.45 / $674.04 / $1,353.10	Professional		$586.45	$674.04	$1,353.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.05 / $523.41 / $928.06	Professional		$368.05	$523.41	$928.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.97 / $675.24 / $983.24	Facility		$618.97	$675.24	$983.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $507.72 / $728.20 / $926.80	Professional		$507.72	$728.20	$926.80
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 $578.60 / $893.70 / $1,301.92	Professional		$578.60	$893.70	$1,301.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $791.21 / $791.21 / $791.21	Facility		$791.21	$791.21	$791.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $601.92 / $903.48 / $1,281.59	Professional		$601.92	$903.48	$1,281.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $494.21 / $853.94	Professional		$72.37	$494.21	$853.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.74 / $835.62 / $1,410.63	Professional		$475.74	$835.62	$1,410.63