Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.97 / $5,653.00 / $9,863.00	Facility		$637.97	$5,653.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $585.67 / $2,015.33	Professional		$348.62	$585.67	$2,015.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,847.00 / $19,117.00	Facility		$2,003.00	$4,847.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.51 / $579.89 / $1,077.59	Professional		$420.51	$579.89	$1,077.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.68 / $406.42 / $503.02	Facility		$338.68	$406.42	$503.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.55 / $372.55 / $447.63	Professional		$372.55	$372.55	$447.63
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 $324.00 / $530.54 / $983.10	Professional		$324.00	$530.54	$983.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,647.07 / $2,863.11 / $5,939.49	Facility		$1,647.07	$2,863.11	$5,939.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $340.74 / $539.75 / $1,016.22	Professional		$340.74	$539.75	$1,016.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $438.69 / $582.76	Professional		$330.23	$438.69	$582.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.25 / $531.03 / $836.93	Professional		$347.25	$531.03	$836.93