Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.84 / $4,723.00 / $11,627.00	Facility		$684.84	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $745.25 / $1,412.46	Professional		$626.79	$745.25	$1,412.46
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 $587.20 / $829.74 / $1,306.53	Professional		$587.20	$829.74	$1,306.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $680.32 / $742.16 / $1,080.69	Facility		$680.32	$742.16	$1,080.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $729.30 / $800.37 / $1,018.65	Professional		$729.30	$800.37	$1,018.65
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 $727.61 / $1,018.65 / $1,399.45	Professional		$727.61	$1,018.65	$1,399.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $763.99 / $1,044.40 / $1,399.45	Professional		$763.99	$1,044.40	$1,399.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $649.62 / $987.13	Professional		$67.21	$649.62	$987.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,383.00 / $7,351.00	Facility		$2,647.00	$4,383.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.67 / $913.19 / $1,361.20	Professional		$584.67	$913.19	$1,361.20