Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.23 / $3,325.00 / $10,635.00	Facility		$905.23	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.94 / $608.76 / $1,496.13	Professional		$543.94	$608.76	$1,496.13
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 $475.74 / $647.09 / $1,065.01	Professional		$475.74	$647.09	$1,065.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $550.03 / $600.04 / $873.74	Facility		$550.03	$600.04	$873.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.37 / $647.10 / $823.58	Professional		$481.37	$647.10	$823.58
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 $597.12 / $823.58 / $1,146.60	Professional		$597.12	$823.58	$1,146.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Facility		$722.52	$722.52	$722.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $597.12 / $823.58 / $1,157.61	Professional		$597.12	$823.58	$1,157.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $446.15 / $763.43	Professional		$72.32	$446.15	$763.43
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 $476.00 / $711.06 / $1,211.56	Professional		$476.00	$711.06	$1,211.56