Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.09 / $8,885.00 / $15,751.37	Facility		$905.09	$8,885.00	$15,751.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.35 / $590.82 / $1,730.33	Professional		$520.35	$590.82	$1,730.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,173.00 / $36,529.00	Facility		$2,097.00	$8,173.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.83 / $608.84 / $1,015.54	Professional		$409.83	$608.84	$1,015.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $492.58 / $492.58 / $717.26	Facility		$492.58	$492.58	$717.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $531.21 / $531.21 / $650.49	Professional		$531.21	$531.21	$650.49
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 $468.92 / $743.57 / $1,032.97	Professional		$468.92	$743.57	$1,032.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,052.30 / $5,052.30 / $13,507.69	Facility		$5,052.30	$5,052.30	$13,507.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $508.15 / $759.94 / $1,009.97	Professional		$508.15	$759.94	$1,009.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $536.78 / $748.84	Professional		$46.00	$536.78	$748.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,524.00 / $14,630.00 / $30,266.00	Facility		$4,524.00	$14,630.00	$30,266.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.74 / $682.55 / $1,092.08	Professional		$518.74	$682.55	$1,092.08