Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.22 / $4,723.00 / $10,455.00	Facility		$805.22	$4,723.00	$10,455.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.53 / $550.47 / $1,539.40	Professional		$410.53	$550.47	$1,539.40
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 $389.68 / $513.46 / $836.11	Professional		$389.68	$513.46	$836.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.50 / $458.72 / $667.97	Facility		$420.50	$458.72	$667.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.47 / $494.70 / $629.62	Professional		$385.47	$494.70	$629.62
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 $472.22 / $652.11 / $944.23	Professional		$472.22	$652.11	$944.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $1,479.29 / $2,983.45	Facility		$535.01	$1,479.29	$2,983.45
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $53.09	Facility	AS	$53.09	$53.09	$53.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $472.22 / $658.54 / $934.74	Professional		$472.22	$658.54	$934.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $377.11 / $596.10	Professional		$67.21	$377.11	$596.10
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 $383.08 / $593.77 / $945.44	Professional		$383.08	$593.77	$945.44