Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.85 / $2,849.00 / $10,268.00	Facility		$592.85	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.46 / $580.10 / $1,151.54	Professional		$409.46	$580.10	$1,151.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.08 / $525.60 / $1,033.74	Professional		$344.08	$525.60	$1,033.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.60 / $644.37 / $1,289.18	Facility		$525.60	$644.37	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.15 / $681.83 / $1,063.65	Professional		$443.15	$681.83	$1,063.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $727.43 / $949.77 / $21,571.00	Facility		$727.43	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.56 / $633.35 / $1,145.08	Professional		$416.56	$633.35	$1,145.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,059.09 / $2,350.03	Facility		$949.77	$1,059.09	$2,350.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $424.52 / $657.81 / $1,075.84	Professional		$424.52	$657.81	$1,075.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $408.04 / $719.45	Professional		$75.13	$408.04	$719.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.04 / $638.16 / $1,295.80	Professional		$519.04	$638.16	$1,295.80