Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.80 / $2,306.00 / $10,268.00	Facility		$799.80	$2,306.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.19 / $797.40 / $1,486.49	Professional		$642.19	$797.40	$1,486.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.36 / $635.69 / $1,076.03	Professional		$443.36	$635.69	$1,076.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.45 / $657.22 / $956.99	Facility		$602.45	$657.22	$956.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $774.17 / $849.11 / $1,080.69	Professional		$774.17	$849.11	$1,080.69
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 $670.48 / $957.18 / $1,466.65	Professional		$670.48	$957.18	$1,466.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,151.71 / $1,151.71 / $1,151.71	Facility		$1,151.71	$1,151.71	$1,151.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $679.94 / $980.00 / $1,466.65	Professional		$679.94	$980.00	$1,466.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $560.46 / $996.18	Professional		$106.74	$560.46	$996.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,740.00 / $5,457.00	Facility		$1,771.00	$2,740.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.49 / $948.71 / $1,582.19	Professional		$621.49	$948.71	$1,582.19