Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $4,723.00 / $10,817.74	Facility		$950.00	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.64 / $685.66 / $1,378.47	Professional		$612.64	$685.66	$1,378.47
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 $600.49 / $795.90 / $1,333.81	Professional		$600.49	$795.90	$1,333.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.39 / $673.51 / $980.71	Facility		$617.39	$673.51	$980.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.60 / $726.33 / $924.42	Professional		$607.60	$726.33	$924.42
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 $677.67 / $924.43 / $1,321.68	Professional		$677.67	$924.43	$1,321.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $811.26 / $811.26 / $811.26	Facility		$811.26	$811.26	$811.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $677.67 / $946.00 / $1,398.51	Professional		$677.67	$946.00	$1,398.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $486.85 / $825.67	Professional		$72.37	$486.85	$825.67
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 $551.85 / $842.10 / $1,349.92	Professional		$551.85	$842.10	$1,349.92