Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.03 / $3,325.00 / $10,635.00	Facility		$766.03	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.19 / $525.58 / $1,028.44	Professional		$476.19	$525.58	$1,028.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,683.00 / $14,996.00	Facility		$1,712.00	$3,683.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.29 / $917.90 / $1,555.44	Professional		$586.29	$917.90	$1,555.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $471.83 / $514.73 / $749.50	Facility		$471.83	$514.73	$749.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $555.09 / $555.09 / $707.46	Professional		$555.09	$555.09	$707.46
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 $529.87 / $782.18 / $1,146.11	Professional		$529.87	$782.18	$1,146.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $602.99 / $602.99 / $602.99	Facility		$602.99	$602.99	$602.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $529.87 / $782.18 / $1,325.89	Professional		$529.87	$782.18	$1,325.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $367.98 / $628.29	Professional		$72.32	$367.98	$628.29
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 $441.46 / $708.47 / $1,103.61	Professional		$441.46	$708.47	$1,103.61