Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.25 / $3,325.00 / $10,635.00	Facility		$920.25	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.23 / $634.55 / $1,435.52	Professional		$538.23	$634.55	$1,435.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.42 / $854.62 / $1,443.15	Professional		$641.42	$854.62	$1,443.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $567.16 / $618.72 / $900.95	Facility		$567.16	$618.72	$900.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $664.61 / $667.25 / $849.23	Professional		$664.61	$667.25	$849.23
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 $633.12 / $888.08 / $1,289.79	Professional		$633.12	$888.08	$1,289.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $728.34 / $728.34 / $728.34	Facility		$728.34	$728.34	$728.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $633.12 / $891.69 / $1,312.02	Professional		$633.12	$891.69	$1,312.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $451.13 / $773.19	Professional		$72.37	$451.13	$773.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.17 / $808.43 / $1,272.70	Professional		$525.17	$808.43	$1,272.70