Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.53 / $5,325.35 / $10,405.00	Facility		$916.53	$5,325.35	$10,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.63 / $689.49 / $1,214.56	Professional		$508.63	$689.49	$1,214.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.23 / $593.40 / $976.05	Professional		$414.23	$593.40	$976.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.45 / $659.34 / $816.08	Facility		$549.45	$659.34	$816.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $565.24 / $604.40 / $604.40	Professional		$565.24	$604.40	$604.40
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 $467.19 / $726.19 / $1,094.03	Professional		$467.19	$726.19	$1,094.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,559.21 / $5,559.21 / $7,243.79	Facility		$5,559.21	$5,559.21	$7,243.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $539.28 / $766.20 / $1,123.09	Professional		$539.28	$766.20	$1,123.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $552.83 / $803.81	Professional		$75.93	$552.83	$803.81
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 $488.37 / $689.46 / $1,166.16	Professional		$488.37	$689.46	$1,166.16