Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.41 / $5,135.00 / $10,817.74	Facility		$824.41	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $571.49 / $1,399.11	Professional		$481.19	$571.49	$1,399.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.58 / $585.48 / $946.44	Professional		$412.58	$585.48	$946.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $552.96 / $805.19	Facility		$506.88	$552.96	$805.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $570.27 / $596.33 / $758.97	Professional		$570.27	$596.33	$758.97
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 $567.15 / $759.64 / $1,056.56	Professional		$567.15	$759.64	$1,056.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $567.15 / $759.64 / $1,109.21	Professional		$567.15	$759.64	$1,109.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $400.01 / $672.20	Professional		$72.37	$400.01	$672.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.18 / $692.50 / $1,120.69	Professional		$449.18	$692.50	$1,120.69