Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.66 / $1,934.54 / $11,627.00	Facility		$515.66	$1,934.54	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.79 / $635.86 / $1,146.03	Professional		$468.79	$635.86	$1,146.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,981.00 / $3,943.00	Facility		$814.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.93 / $600.36 / $990.37	Professional		$412.93	$600.36	$990.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.74 / $472.08 / $687.41	Facility		$432.74	$472.08	$687.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $599.69 / $704.89 / $897.13	Professional		$599.69	$704.89	$897.13
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 $550.76 / $831.56 / $1,259.83	Professional		$550.76	$831.56	$1,259.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $835.51 / $835.51 / $835.51	Facility		$835.51	$835.51	$835.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $555.39 / $842.72 / $1,259.83	Professional		$555.39	$842.72	$1,259.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $616.72 / $908.85	Professional		$67.28	$616.72	$908.85
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.02 / $819.44 / $1,377.60	Professional		$507.02	$819.44	$1,377.60