Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.05 / $5,201.00 / $11,627.00	Facility		$952.05	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.33 / $640.25 / $2,067.16	Professional		$566.33	$640.25	$2,067.16
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 $471.31 / $643.20 / $1,135.08	Professional		$471.31	$643.20	$1,135.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.94 / $945.14 / $1,994.14	Facility		$770.94	$945.14	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.83 / $741.29 / $1,156.41	Professional		$581.83	$741.29	$1,156.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $715.44 / $1,469.12 / $21,571.00	Facility		$715.44	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.30 / $818.02 / $1,284.81	Professional		$534.30	$818.02	$1,284.81
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 $537.74 / $828.98 / $1,199.92	Professional		$537.74	$828.98	$1,199.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $460.58 / $783.81	Professional		$76.18	$460.58	$783.81
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 $535.26 / $692.71 / $1,379.79	Professional		$535.26	$692.71	$1,379.79