Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.25 / $2,849.00 / $10,268.00	Facility		$534.25	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.32 / $534.25 / $1,073.33	Professional		$391.32	$534.25	$1,073.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,683.00 / $14,996.00	Facility		$1,760.00	$3,683.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $471.89 / $920.04	Professional		$324.70	$471.89	$920.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.91 / $600.60 / $1,994.14	Facility		$489.91	$600.60	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.69 / $611.40 / $953.79	Professional		$392.69	$611.40	$953.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.06 / $1,469.12 / $21,571.00	Facility		$677.06	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.10 / $562.49 / $1,033.68	Professional		$378.10	$562.49	$1,033.68
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 $394.52 / $593.98 / $887.99	Professional		$394.52	$593.98	$887.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $362.92 / $607.62	Professional		$74.89	$362.92	$607.62
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 $456.49 / $562.90 / $1,137.74	Professional		$456.49	$562.90	$1,137.74