Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.78 / $2,800.00 / $10,268.00	Facility		$888.78	$2,800.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.82 / $597.70 / $1,149.18	Professional		$500.82	$597.70	$1,149.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.75 / $578.29 / $1,020.58	Professional		$423.75	$578.29	$1,020.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $714.55 / $876.00 / $1,525.80	Facility		$714.55	$876.00	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.41 / $687.06 / $1,071.83	Professional		$537.41	$687.06	$1,071.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $671.08 / $1,124.08 / $21,571.00	Facility		$671.08	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.96 / $757.75 / $1,184.48	Professional		$496.96	$757.75	$1,184.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $490.95 / $757.75 / $1,070.82	Professional		$490.95	$757.75	$1,070.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $413.58 / $719.29	Professional		$75.13	$413.58	$719.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.88 / $3,365.00 / $6,238.00	Facility		$1,685.88	$3,365.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.05 / $628.03 / $1,354.71	Professional		$501.05	$628.03	$1,354.71