Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.71 / $3,494.31 / $9,504.00	Facility		$622.71	$3,494.31	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.62 / $2,436.96 / $4,548.31	Professional		$225.62	$2,436.96	$4,548.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.39 / $1,907.36 / $4,277.17	Professional		$229.39	$1,907.36	$4,277.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $275.52 / $341.01	Facility		$229.60	$275.52	$341.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,587.37 / $2,587.37 / $3,304.06	Professional		$2,587.37	$2,587.37	$3,304.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $2,352.15 / $5,115.09	Professional		$253.40	$2,352.15	$5,115.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,225.26 / $1,225.26 / $1,225.26	Facility		$1,225.26	$1,225.26	$1,225.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $2,375.67 / $5,502.93	Professional		$275.52	$2,375.67	$5,502.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,235.82 / $3,008.12 / $4,210.77	Professional		$2,235.82	$3,008.12	$4,210.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,965.72 / $4,010.38 / $6,619.67	Professional		$2,965.72	$4,010.38	$6,619.67