Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.23 / $3,325.00 / $10,635.00	Facility		$767.23	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.10 / $559.34 / $1,030.92	Professional		$488.10	$559.34	$1,030.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.43 / $635.22 / $997.12	Professional		$427.43	$635.22	$997.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.45 / $557.94 / $812.43	Facility		$511.45	$557.94	$812.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $601.70 / $765.80	Professional		$601.70	$601.70	$765.80
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 $548.72 / $758.46 / $1,059.29	Professional		$548.72	$758.46	$1,059.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $658.46 / $658.46 / $658.46	Facility		$658.46	$658.46	$658.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $574.35 / $765.80 / $1,059.29	Professional		$574.35	$765.80	$1,059.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $498.51 / $737.69	Professional		$67.21	$498.51	$737.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.24 / $3,724.00 / $6,238.00	Facility		$1,448.24	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.76 / $701.98 / $1,080.19	Professional		$451.76	$701.98	$1,080.19