Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.81 / $5,135.00 / $10,817.74	Facility		$903.81	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.86 / $607.80 / $1,153.01	Professional		$524.86	$607.80	$1,153.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,534.00 / $14,996.00	Facility		$1,760.00	$4,534.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.19 / $671.76 / $1,097.09	Professional		$505.19	$671.76	$1,097.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.64 / $607.25 / $884.23	Facility		$556.64	$607.25	$884.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $593.14 / $654.87 / $833.48	Professional		$593.14	$654.87	$833.48
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 $625.11 / $833.48 / $1,186.40	Professional		$625.11	$833.48	$1,186.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $713.47 / $713.47	Facility		$713.47	$713.47	$713.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $625.11 / $844.03 / $1,186.40	Professional		$625.11	$844.03	$1,186.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $422.18 / $730.80	Professional		$72.32	$422.18	$730.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.69 / $769.99 / $1,272.86	Professional		$519.69	$769.99	$1,272.86