Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.33 / $2,849.00 / $10,268.00	Facility		$659.33	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.77 / $659.33 / $1,224.97	Professional		$542.77	$659.33	$1,224.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.14 / $527.23 / $902.24	Professional		$377.14	$527.23	$902.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.45 / $548.12 / $798.15	Facility		$502.45	$548.12	$798.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $706.51 / $706.51 / $899.19	Professional		$706.51	$706.51	$899.19
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 $557.73 / $825.67 / $1,225.24	Professional		$557.73	$825.67	$1,225.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $959.91 / $959.91 / $959.91	Facility		$959.91	$959.91	$959.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $564.25 / $829.25 / $1,225.24	Professional		$564.25	$829.25	$1,225.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $461.87 / $818.04	Professional		$69.55	$461.87	$818.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.82 / $796.08 / $1,321.49	Professional		$528.82	$796.08	$1,321.49