Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.16 / $4,723.00 / $10,817.74	Facility		$814.16	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.41 / $549.59 / $1,087.76	Professional		$475.41	$549.59	$1,087.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.39 / $763.92 / $1,312.79	Professional		$572.39	$763.92	$1,312.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.20 / $546.77 / $796.17	Facility		$501.20	$546.77	$796.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.66 / $589.66 / $750.47	Professional		$589.66	$589.66	$750.47
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 $560.30 / $790.70 / $1,147.15	Professional		$560.30	$790.70	$1,147.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $643.16 / $643.16 / $643.16	Facility		$643.16	$643.16	$643.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $560.30 / $790.70 / $1,232.92	Professional		$560.30	$790.70	$1,232.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $400.15 / $672.20	Professional		$72.37	$400.15	$672.20
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 $464.54 / $723.67 / $1,116.14	Professional		$464.54	$723.67	$1,116.14