Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.87 / $3,023.00 / $9,504.00	Facility		$353.87	$3,023.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $676.52 / $1,408.50	Professional		$200.37	$676.52	$1,408.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $674.48 / $2,561.91	Professional		$157.66	$674.48	$2,561.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.73 / $228.88 / $283.27	Facility		$190.73	$228.88	$283.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $589.40 / $734.59 / $734.59	Professional		$589.40	$734.59	$734.59
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 $198.74 / $438.69 / $1,355.22	Professional		$198.74	$438.69	$1,355.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16,365.11 / $16,365.11 / $16,365.11	Facility		$16,365.11	$16,365.11	$16,365.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $209.81 / $622.71 / $1,355.22	Professional		$209.81	$622.71	$1,355.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $648.15 / $876.70 / $1,199.96	Professional		$648.15	$876.70	$1,199.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.17 / $996.43 / $1,600.71	Professional		$687.17	$996.43	$1,600.71