Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.03 / $5,910.00 / $11,581.00	Facility		$909.03	$5,910.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.11 / $699.32 / $1,318.39	Professional		$508.11	$699.32	$1,318.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.78 / $596.07 / $997.71	Professional		$436.78	$596.07	$997.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $546.76 / $796.16	Facility		$501.19	$546.76	$796.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $606.04 / $748.14 / $952.18	Professional		$606.04	$748.14	$952.18
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 $589.64 / $842.12 / $1,232.88	Professional		$589.64	$842.12	$1,232.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $961.16 / $4,475.47 / $9,791.95	Facility		$961.16	$4,475.47	$9,791.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $604.52 / $850.17 / $1,234.10	Professional		$604.52	$850.17	$1,234.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $501.37 / $883.83	Professional		$72.37	$501.37	$883.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.23 / $867.66 / $1,396.46	Professional		$575.23	$867.66	$1,396.46