Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.01 / $7,013.00 / $11,735.00	Facility		$770.01	$7,013.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.78 / $754.88 / $1,508.42	Professional		$596.78	$754.88	$1,508.42
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 $496.17 / $671.52 / $1,069.02	Professional		$496.17	$671.52	$1,069.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.35 / $616.74 / $898.07	Facility		$565.35	$616.74	$898.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $666.44 / $821.03 / $1,044.95	Professional		$666.44	$821.03	$1,044.95
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 $656.66 / $943.55 / $1,390.70	Professional		$656.66	$943.55	$1,390.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $1,084.85 / $1,084.85	Facility		$1,084.85	$1,084.85	$1,084.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $665.12 / $955.38 / $1,390.70	Professional		$665.12	$955.38	$1,390.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $552.80 / $940.85	Professional		$72.37	$552.80	$940.85
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 $609.30 / $923.03 / $1,538.90	Professional		$609.30	$923.03	$1,538.90