Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.36 / $6,882.00 / $11,735.00	Facility		$602.36	$6,882.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.35 / $602.36 / $1,135.48	Professional		$508.35	$602.36	$1,135.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,304.00 / $3,175.00 / $8,800.00	Facility		$1,304.00	$3,175.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.52 / $648.14 / $1,024.93	Professional		$473.52	$648.14	$1,024.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $469.28 / $511.94 / $745.45	Facility		$469.28	$511.94	$745.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.42 / $651.60 / $829.30	Professional		$546.42	$651.60	$829.30
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 $568.65 / $824.98 / $1,212.58	Professional		$568.65	$824.98	$1,212.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $902.78 / $902.78	Facility		$902.78	$902.78	$902.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $569.27 / $829.31 / $1,212.58	Professional		$569.27	$829.31	$1,212.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $429.90 / $760.74	Professional		$72.37	$429.90	$760.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,397.21 / $3,724.00 / $6,238.00	Facility		$2,397.21	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.66 / $863.88 / $1,323.40	Professional		$554.66	$863.88	$1,323.40