Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.45 / $5,135.00 / $10,817.74	Facility		$990.45	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.77 / $666.07 / $1,332.22	Professional		$575.77	$666.07	$1,332.22
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 $534.09 / $754.02 / $1,253.86	Professional		$534.09	$754.02	$1,253.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.11 / $656.84 / $956.45	Facility		$602.11	$656.84	$956.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.38 / $708.36 / $901.54	Professional		$553.38	$708.36	$901.54
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 $655.97 / $901.54 / $1,267.86	Professional		$655.97	$901.54	$1,267.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $789.63 / $789.63 / $789.63	Facility		$789.63	$789.63	$789.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $655.97 / $901.54 / $1,267.86	Professional		$655.97	$901.54	$1,267.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $467.91 / $815.82	Professional		$72.37	$467.91	$815.82
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 $531.07 / $795.21 / $1,378.62	Professional		$531.07	$795.21	$1,378.62