Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.38 / $5,201.00 / $11,627.00	Facility		$963.38	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.37 / $651.60 / $1,922.82	Professional		$571.37	$651.60	$1,922.82
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 $683.93 / $901.18 / $1,524.14	Professional		$683.93	$901.18	$1,524.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $595.50 / $649.63 / $945.95	Facility		$595.50	$649.63	$945.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.58 / $700.58 / $891.65	Professional		$700.58	$700.58	$891.65
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 $668.73 / $951.56 / $1,360.92	Professional		$668.73	$951.56	$1,360.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $763.31 / $763.31 / $763.31	Facility		$763.31	$763.31	$763.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $668.73 / $951.56 / $1,400.53	Professional		$668.73	$951.56	$1,400.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $463.36 / $812.14	Professional		$72.37	$463.36	$812.14
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 $555.46 / $869.57 / $1,344.62	Professional		$555.46	$869.57	$1,344.62