Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.69 / $3,660.00 / $9,726.08	Facility		$645.69	$3,660.00	$9,726.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.72 / $1,559.29 / $2,828.32	Professional		$379.72	$1,559.29	$2,828.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.56 / $1,257.20 / $2,601.80	Professional		$364.56	$1,257.20	$2,601.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.52 / $432.62 / $535.47	Facility		$360.52	$432.62	$535.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,576.14 / $1,576.14 / $1,973.23	Professional		$1,576.14	$1,576.14	$1,973.23
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 $396.57 / $1,378.28 / $3,066.29	Professional		$396.57	$1,378.28	$3,066.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,504.68 / $3,504.68 / $3,684.00	Facility		$3,504.68	$3,504.68	$3,684.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $396.57 / $1,454.69 / $3,141.79	Professional		$396.57	$1,454.69	$3,141.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $1,332.26 / $2,184.91	Professional		$114.24	$1,332.26	$2,184.91
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 $1,625.83 / $2,207.46 / $3,732.56	Professional		$1,625.83	$2,207.46	$3,732.56