Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.02 / $2,895.00 / $10,268.00	Facility		$674.02	$2,895.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.51 / $616.63 / $1,145.83	Professional		$392.51	$616.63	$1,145.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,931.00 / $3,554.00 / $19,117.00	Facility		$1,931.00	$3,554.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.17 / $315.19 / $588.54	Professional		$209.17	$315.19	$588.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.40 / $414.98 / $604.28	Facility		$380.40	$414.98	$604.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $558.98 / $703.93 / $895.92	Professional		$558.98	$703.93	$895.92
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 $406.72 / $703.93 / $1,151.89	Professional		$406.72	$703.93	$1,151.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $724.83 / $724.83 / $724.83	Facility		$724.83	$724.83	$724.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.05 / $728.36 / $1,158.68	Professional		$416.05	$728.36	$1,158.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $473.77 / $817.28	Professional		$69.55	$473.77	$817.28
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 $524.85 / $777.94 / $1,352.62	Professional		$524.85	$777.94	$1,352.62