Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.00 / $1,800.90 / $2,900.00	Facility		$928.00	$1,800.90	$2,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $928.00 / $2,497.34	Professional		$812.00	$928.00	$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 $464.00 / $561.44 / $1,608.92	Professional		$464.00	$561.44	$1,608.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,450.00 / $1,740.00	Facility		$1,160.00	$1,450.00	$1,740.00
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 / $1,194.33 / $6,620.12	Facility		$1,035.24	$1,194.33	$6,620.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $1,043.85 / $2,247.37	Professional		$560.67	$1,043.85	$2,247.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,035.24 / $1,194.33 / $6,717.33	Facility		$1,035.24	$1,194.33	$6,717.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $649.60 / $2,247.37	Professional		$560.67	$649.60	$2,247.37
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 Facility Modifier Low / Median / High Price $417.60 / $417.60 / $1,044.00	Facility		$417.60	$417.60	$1,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $696.00 / $1,532.01	Professional		$487.20	$696.00	$1,532.01