Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.54 / $4,886.00 / $11,581.00	Facility		$627.54	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.42 / $625.63 / $1,151.29	Professional		$463.42	$625.63	$1,151.29
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 $286.20 / $415.00 / $703.77	Professional		$286.20	$415.00	$703.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.41 / $471.72 / $686.89	Facility		$432.41	$471.72	$686.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $643.63 / $670.79 / $853.73	Professional		$643.63	$670.79	$853.73
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 $531.85 / $748.50 / $1,133.64	Professional		$531.85	$748.50	$1,133.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $835.21 / $835.21 / $835.21	Facility		$835.21	$835.21	$835.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $755.20 / $1,152.83	Professional		$541.10	$755.20	$1,152.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $440.38 / $777.07	Professional		$72.37	$440.38	$777.07
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 $520.15 / $800.52 / $1,322.53	Professional		$520.15	$800.52	$1,322.53