Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.80 / $3,325.00 / $10,635.00	Facility		$734.80	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.79 / $498.95 / $994.78	Professional		$434.79	$498.95	$994.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.90 / $558.54 / $933.70	Professional		$423.90	$558.54	$933.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.80 / $492.88 / $717.68	Facility		$451.80	$492.88	$717.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $502.01 / $531.53 / $676.49	Professional		$502.01	$531.53	$676.49
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 $507.37 / $698.10 / $1,011.89	Professional		$507.37	$698.10	$1,011.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $576.10 / $576.10 / $576.10	Facility		$576.10	$576.10	$576.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $507.37 / $705.40 / $1,021.68	Professional		$507.37	$705.40	$1,021.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $342.75 / $617.03	Professional		$71.67	$342.75	$617.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.46 / $634.85 / $1,023.55	Professional		$412.46	$634.85	$1,023.55