Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.54 / $3,785.00 / $9,534.00	Facility		$589.54	$3,785.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.60 / $563.00 / $1,056.46	Professional		$404.60	$563.00	$1,056.46
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 $204.65 / $313.00 / $587.14	Professional		$204.65	$313.00	$587.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.74 / $419.71 / $611.15	Facility		$384.74	$419.71	$611.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.31 / $606.60 / $772.03	Professional		$438.31	$606.60	$772.03
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 $452.63 / $645.54 / $1,030.31	Professional		$452.63	$645.54	$1,030.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $739.15 / $739.15 / $739.15	Facility		$739.15	$739.15	$739.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $481.43 / $661.74 / $992.62	Professional		$481.43	$661.74	$992.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $401.64 / $708.97	Professional		$71.09	$401.64	$708.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.36 / $3,724.00 / $6,238.00	Facility		$2,398.36	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.16 / $665.79 / $1,087.44	Professional		$412.16	$665.79	$1,087.44