Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.40 / $5,135.00 / $10,817.74	Facility		$834.40	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $561.13 / $1,012.23	Professional		$491.91	$561.13	$1,012.23
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 $450.30 / $608.86 / $988.20	Professional		$450.30	$608.86	$988.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $516.21 / $563.14 / $820.00	Facility		$516.21	$563.14	$820.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.37 / $607.29 / $772.93	Professional		$537.37	$607.29	$772.93
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 $574.39 / $772.92 / $1,059.20	Professional		$574.39	$772.92	$1,059.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $665.11	Facility		$665.11	$665.11	$665.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $574.39 / $772.92 / $1,059.11	Professional		$574.39	$772.92	$1,059.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $430.34 / $715.19	Professional		$71.16	$430.34	$715.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.91 / $703.64 / $1,144.18	Professional		$459.91	$703.64	$1,144.18