Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.56 / $2,900.00 / $4,279.01	Facility		$946.56	$2,900.00	$4,279.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $849.20 / $2,497.34	Professional		$306.00	$849.20	$2,497.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.28 / $1,252.80 / $2,052.85	Facility		$1,024.28	$1,252.80	$2,052.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $621.00 / $1,574.64	Professional		$540.00	$621.00	$1,574.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.83 / $1,508.00 / $1,914.00	Facility		$1,077.83	$1,508.00	$1,914.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,508.00 / $1,566.00 / $2,784.00	Professional		$1,508.00	$1,566.00	$2,784.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,035.24 / $1,319.50 / $6,620.12	Facility		$1,035.24	$1,319.50	$6,620.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.66 / $624.15 / $2,524.85	Professional		$530.66	$624.15	$2,524.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $914.14 / $1,390.36 / $6,620.12	Facility		$914.14	$1,390.36	$6,620.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $530.66 / $624.15 / $2,524.85	Professional		$530.66	$624.15	$2,524.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $913.50 / $1,044.00 / $1,435.50	Professional		$913.50	$1,044.00	$1,435.50
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,690.12	Professional		$487.20	$696.00	$1,690.12