Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.32 / $3,785.00 / $9,863.00	Facility		$681.32	$3,785.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.04 / $834.96 / $1,601.54	Professional		$374.04	$834.96	$1,601.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.45 / $346.71 / $624.32	Professional		$243.45	$346.71	$624.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.69 / $453.23 / $560.97	Facility		$377.69	$453.23	$560.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $726.50 / $944.78 / $944.78	Professional		$726.50	$944.78	$944.78
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 $322.83 / $662.91 / $1,518.46	Professional		$322.83	$662.91	$1,518.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,462.49 / $4,462.49 / $4,462.49	Facility		$4,462.49	$4,462.49	$4,462.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $738.69 / $1,583.05	Professional		$355.00	$738.69	$1,583.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $721.57 / $1,232.72	Professional		$76.61	$721.57	$1,232.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.08 / $1,131.97 / $1,898.28	Professional		$730.08	$1,131.97	$1,898.28