Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.00 / $3,696.00 / $10,635.00	Facility		$1,409.00	$3,696.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.70 / $1,147.68 / $3,027.00	Professional		$956.70	$1,147.68	$3,027.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.07 / $1,185.83 / $2,049.69	Professional		$851.07	$1,185.83	$2,049.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $370.07 / $1,689.89 / $2,067.63	Facility		$370.07	$1,689.89	$2,067.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $897.50 / $1,325.40 / $2,067.63	Professional		$897.50	$1,325.40	$2,067.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.64 / $304.02 / $21,571.00	Facility		$272.64	$304.02	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.47 / $1,450.39 / $2,295.27	Professional		$957.47	$1,450.39	$2,295.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $272.64 / $272.64 / $304.02	Facility		$272.64	$272.64	$304.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $972.38 / $1,427.22 / $2,121.62	Professional		$972.38	$1,427.22	$2,121.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $817.12 / $1,371.81	Professional		$150.99	$817.12	$1,371.81
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $1,952.00 / $4,132.00	Facility		$925.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $968.60 / $1,217.19 / $2,495.02	Professional		$968.60	$1,217.19	$2,495.02