Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.39 / $3,325.00 / $10,635.00	Facility		$782.39	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.45 / $566.95 / $1,181.08	Professional		$514.45	$566.95	$1,181.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,141.00 / $3,111.00	Facility		$772.00	$2,141.00	$3,111.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.24 / $732.71 / $1,189.22	Professional		$498.24	$732.71	$1,189.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $522.89 / $570.41 / $830.60	Facility		$522.89	$570.41	$830.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $615.15 / $615.15 / $782.92	Professional		$615.15	$615.15	$782.92
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 $587.19 / $823.48 / $1,201.97	Professional		$587.19	$823.48	$1,201.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $669.01 / $669.01	Facility		$669.01	$669.01	$669.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $598.99 / $846.52 / $1,147.95	Professional		$598.99	$846.52	$1,147.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $467.98 / $618.27 / $855.82	Professional		$467.98	$618.27	$855.82
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.06 / $777.12 / $1,326.32	Professional		$500.06	$777.12	$1,326.32