Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.26 / $6,251.00 / $11,581.00	Facility		$891.26	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.53 / $624.82 / $1,570.35	Professional		$561.53	$624.82	$1,570.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.45 / $740.59 / $1,154.58	Professional		$531.45	$740.59	$1,154.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.33 / $606.90 / $883.73	Facility		$556.33	$606.90	$883.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $654.50 / $654.50 / $833.00	Professional		$654.50	$654.50	$833.00
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 $624.75 / $862.75 / $1,271.17	Professional		$624.75	$862.75	$1,271.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $713.09 / $713.09 / $713.09	Facility		$713.09	$713.09	$713.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $624.75 / $882.35 / $1,221.38	Professional		$624.75	$882.35	$1,221.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $433.20 / $739.01	Professional		$72.37	$433.20	$739.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.70 / $789.00 / $1,277.86	Professional		$512.70	$789.00	$1,277.86