Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.13 / $3,265.00 / $10,635.00	Facility		$927.13	$3,265.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.52 / $623.49 / $1,546.76	Professional		$557.52	$623.49	$1,546.76
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 $511.81 / $674.38 / $1,119.74	Professional		$511.81	$674.38	$1,119.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.84 / $614.00 / $894.06	Facility		$562.84	$614.00	$894.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $517.87 / $662.16 / $842.74	Professional		$517.87	$662.16	$842.74
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 $608.86 / $812.64 / $1,177.75	Professional		$608.86	$812.64	$1,177.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $740.79 / $740.79	Facility		$740.79	$740.79	$740.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $608.86 / $828.11 / $1,233.57	Professional		$608.86	$828.11	$1,233.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $443.32 / $741.69	Professional		$72.32	$443.32	$741.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $4,951.00	Facility		$1,689.00	$2,665.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.98 / $722.35 / $1,189.73	Professional		$480.98	$722.35	$1,189.73