Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.65 / $7,218.00 / $11,735.00	Facility		$623.65	$7,218.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.24 / $623.65 / $1,069.55	Professional		$483.24	$623.65	$1,069.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.01 / $538.79 / $915.61	Professional		$390.01	$538.79	$915.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.23 / $479.16 / $697.71	Facility		$439.23	$479.16	$697.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.87 / $663.58 / $844.55	Professional		$384.87	$663.58	$844.55
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 $531.16 / $754.06 / $1,116.46	Professional		$531.16	$754.06	$1,116.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $838.97 / $838.97 / $838.97	Facility		$838.97	$838.97	$838.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $540.22 / $768.67 / $1,116.46	Professional		$540.22	$768.67	$1,116.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $473.13 / $785.55	Professional		$72.37	$473.13	$785.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.16 / $768.54 / $1,304.02	Professional		$509.16	$768.54	$1,304.02