Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.92 / $1,938.63 / $9,504.00	Facility		$501.92	$1,938.63	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.25 / $569.14 / $1,041.79	Professional		$295.25	$569.14	$1,041.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $3,025.00 / $9,773.00	Facility		$1,121.00	$3,025.00	$9,773.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $350.23 / $570.91	Professional		$260.20	$350.23	$570.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.19 / $319.85 / $465.75	Facility		$293.19	$319.85	$465.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $505.27 / $679.78 / $865.17	Professional		$505.27	$679.78	$865.17
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 $354.01 / $648.55 / $1,054.99	Professional		$354.01	$648.55	$1,054.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $561.84 / $561.84 / $561.84	Facility		$561.84	$561.84	$561.84
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $56.18 / $56.18 / $56.18	Facility	AS	$56.18	$56.18	$56.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.62 / $661.18 / $1,068.43	Professional		$360.62	$661.18	$1,068.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $588.70 / $881.15	Professional		$67.08	$588.70	$881.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,383.00 / $8,725.00	Facility		$2,647.00	$4,383.00	$8,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.88 / $807.69 / $1,142.94	Professional		$498.88	$807.69	$1,142.94