Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.57 / $5,201.00 / $11,627.00	Facility		$966.57	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.16 / $650.01 / $2,097.71	Professional		$577.16	$650.01	$2,097.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.98 / $660.49 / $1,165.59	Professional		$483.98	$660.49	$1,165.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $782.30 / $959.07 / $1,994.14	Facility		$782.30	$959.07	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $605.60 / $752.21 / $1,173.45	Professional		$605.60	$752.21	$1,173.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.25 / $1,469.12 / $21,571.00	Facility		$726.25	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.62 / $830.69 / $1,309.40	Professional		$542.62	$830.69	$1,309.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $842.48 / $1,219.94	Professional		$546.04	$842.48	$1,219.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $463.21 / $804.97	Professional		$76.18	$463.21	$804.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $710.00 / $1,458.91	Professional		$555.95	$710.00	$1,458.91