Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.73 / $2,256.03 / $9,496.00	Facility		$602.73	$2,256.03	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.46 / $828.81 / $1,611.31	Professional		$342.46	$828.81	$1,611.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,541.00 / $14,996.00	Facility		$1,712.00	$3,541.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.27 / $838.22 / $1,853.39	Professional		$318.27	$838.22	$1,853.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.48 / $390.58 / $483.42	Facility		$325.48	$390.58	$483.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $662.48 / $847.81 / $847.81	Professional		$662.48	$847.81	$847.81
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 $341.75 / $676.12 / $1,396.76	Professional		$341.75	$676.12	$1,396.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,946.53 / $3,519.73 / $6,090.60	Facility		$1,946.53	$3,519.73	$6,090.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $358.03 / $719.45 / $1,554.14	Professional		$358.03	$719.45	$1,554.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $754.07 / $1,003.30 / $1,355.85	Professional		$754.07	$1,003.30	$1,355.85
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 $804.64 / $1,154.52 / $1,851.47	Professional		$804.64	$1,154.52	$1,851.47