Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.28 / $2,547.00 / $10,635.00	Facility		$782.28	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.37 / $555.60 / $2,113.00	Professional		$463.37	$555.60	$2,113.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.26 / $555.70 / $920.55	Professional		$350.26	$555.70	$920.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $522.19 / $569.66 / $829.51	Facility		$522.19	$569.66	$829.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $510.57 / $614.34 / $781.89	Professional		$510.57	$614.34	$781.89
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 $518.21 / $762.04 / $1,290.83	Professional		$518.21	$762.04	$1,290.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $661.80 / $661.80 / $661.80	Facility		$661.80	$661.80	$661.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $763.49 / $1,247.21	Professional		$546.04	$763.49	$1,247.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.69 / $655.79 / $913.89	Professional		$501.69	$655.79	$913.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $842.53 / $2,041.24	Professional		$478.42	$842.53	$2,041.24