Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.95 / $3,325.00 / $10,635.00	Facility		$826.95	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.07 / $572.67 / $1,093.39	Professional		$525.07	$572.67	$1,093.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.86 / $523.57 / $889.69	Professional		$370.86	$523.57	$889.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.40 / $602.62 / $877.49	Facility		$552.40	$602.62	$877.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $474.54 / $649.88 / $827.12	Professional		$474.54	$649.88	$827.12
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 $582.78 / $801.87 / $1,139.23	Professional		$582.78	$801.87	$1,139.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $704.17 / $704.17 / $704.17	Facility		$704.17	$704.17	$704.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $599.11 / $819.71 / $1,136.41	Professional		$599.11	$819.71	$1,136.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $537.54 / $809.91	Professional		$67.21	$537.54	$809.91
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 $481.96 / $729.65 / $1,128.35	Professional		$481.96	$729.65	$1,128.35