Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.57 / $3,325.00 / $10,635.00	Facility		$921.57	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.33 / $642.98 / $1,213.90	Professional		$554.33	$642.98	$1,213.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.86 / $717.29 / $1,122.24	Professional		$493.86	$717.29	$1,122.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.46 / $660.50 / $961.78	Facility		$605.46	$660.50	$961.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.31 / $712.31 / $906.57	Professional		$712.31	$712.31	$906.57
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 $644.32 / $878.01 / $1,248.03	Professional		$644.32	$878.01	$1,248.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $781.03 / $781.03 / $781.03	Facility		$781.03	$781.03	$781.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $656.33 / $906.56 / $1,248.03	Professional		$656.33	$906.56	$1,248.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $576.59 / $866.00	Professional		$67.08	$576.59	$866.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.77 / $805.75 / $1,268.46	Professional		$527.77	$805.75	$1,268.46