Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.31 / $5,201.00 / $11,627.00	Facility		$979.31	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.50 / $658.58 / $1,153.91	Professional		$566.50	$658.58	$1,153.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,565.00 / $30,285.00	Facility		$2,670.00	$6,565.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.12 / $708.36 / $1,192.88	Professional		$539.12	$708.36	$1,192.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $595.62 / $649.76 / $946.14	Facility		$595.62	$649.76	$946.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $545.51 / $700.72 / $891.83	Professional		$545.51	$700.72	$891.83
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 $632.67 / $875.27 / $1,217.96	Professional		$632.67	$875.27	$1,217.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $781.05 / $781.05 / $781.05	Facility		$781.05	$781.05	$781.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $627.01 / $891.83 / $1,286.16	Professional		$627.01	$891.83	$1,286.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $465.87 / $793.74	Professional		$72.32	$465.87	$793.74
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 $507.43 / $768.03 / $1,249.00	Professional		$507.43	$768.03	$1,249.00