Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.18 / $3,325.00 / $10,635.00	Facility		$905.18	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.02 / $660.45 / $1,792.07	Professional		$596.02	$660.45	$1,792.07
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 $571.55 / $841.11 / $1,371.14	Professional		$571.55	$841.11	$1,371.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $604.96 / $659.95 / $960.97	Facility		$604.96	$659.95	$960.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $711.71 / $711.71 / $905.81	Professional		$711.71	$711.71	$905.81
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 $679.36 / $951.10 / $1,391.71	Professional		$679.36	$951.10	$1,391.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $774.06 / $774.06 / $774.06	Facility		$774.06	$774.06	$774.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $693.59 / $972.65 / $1,324.78	Professional		$693.59	$972.65	$1,324.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $552.74 / $726.56 / $1,005.85	Professional		$552.74	$726.56	$1,005.85
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 $566.30 / $886.15 / $1,300.53	Professional		$566.30	$886.15	$1,300.53