Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.89 / $3,325.00 / $10,635.00	Facility		$914.89	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.91 / $616.71 / $1,222.73	Professional		$526.91	$616.71	$1,222.73
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 $353.21 / $506.95 / $869.06	Professional		$353.21	$506.95	$869.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $564.48 / $615.79 / $896.69	Facility		$564.48	$615.79	$896.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $456.12 / $664.09 / $845.21	Professional		$456.12	$664.09	$845.21
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 $591.65 / $816.51 / $1,169.89	Professional		$591.65	$816.51	$1,169.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $723.51 / $723.51	Facility		$723.51	$723.51	$723.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $593.87 / $845.21 / $1,239.71	Professional		$593.87	$845.21	$1,239.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $454.53 / $749.83	Professional		$72.37	$454.53	$749.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.22 / $754.85 / $1,274.53	Professional		$479.22	$754.85	$1,274.53