Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.52 / $5,135.00 / $10,817.74	Facility		$786.52	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.29 / $530.98 / $1,052.23	Professional		$454.29	$530.98	$1,052.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $4,072.00	Facility		$937.00	$2,059.00	$4,072.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.97 / $564.04 / $923.94	Professional		$415.97	$564.04	$923.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.63 / $528.67 / $769.84	Facility		$484.63	$528.67	$769.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $466.26 / $570.15 / $725.65	Professional		$466.26	$570.15	$725.65
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 $544.07 / $717.91 / $1,002.57	Professional		$544.07	$717.91	$1,002.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $620.84	Facility		$620.84	$620.84	$620.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $544.07 / $725.64 / $1,002.57	Professional		$544.07	$725.64	$1,002.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $388.70 / $635.84	Professional		$72.37	$388.70	$635.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.51 / $652.88 / $1,083.79	Professional		$433.51	$652.88	$1,083.79