Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.98 / $5,201.00 / $11,627.00	Facility		$975.98	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.41 / $703.14 / $1,336.76	Professional		$600.41	$703.14	$1,336.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $14,095.04 / $24,745.60	Facility		$3,315.00	$14,095.04	$24,745.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.80 / $707.46 / $1,132.67	Professional		$538.80	$707.46	$1,132.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $601.01 / $655.64 / $954.72	Facility		$601.01	$655.64	$954.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $558.25 / $707.07 / $899.91	Professional		$558.25	$707.07	$899.91
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 $642.79 / $910.49 / $1,329.80	Professional		$642.79	$910.49	$1,329.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $778.94 / $778.94 / $778.94	Facility		$778.94	$778.94	$778.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $674.93 / $932.05 / $1,329.80	Professional		$674.93	$932.05	$1,329.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $470.70 / $817.33	Professional		$72.37	$470.70	$817.33
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 $532.82 / $837.54 / $1,325.14	Professional		$532.82	$837.54	$1,325.14