Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.78 / $4,886.00 / $11,581.00	Facility		$612.78	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.23 / $612.17 / $1,203.66	Professional		$438.23	$612.17	$1,203.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.41 / $520.10 / $1,043.58	Professional		$369.41	$520.10	$1,043.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $550.05 / $674.36 / $1,525.80	Facility		$550.05	$674.36	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.57 / $702.03 / $1,095.17	Professional		$450.57	$702.03	$1,095.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $760.01 / $1,124.08 / $21,571.00	Facility		$760.01	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.45 / $645.87 / $1,173.93	Professional		$436.45	$645.87	$1,173.93
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 $444.28 / $676.48 / $1,051.21	Professional		$444.28	$676.48	$1,051.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $436.67 / $741.46	Professional		$74.89	$436.67	$741.46
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 $514.71 / $649.02 / $1,300.79	Professional		$514.71	$649.02	$1,300.79