Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.11 / $5,201.00 / $11,627.00	Facility		$949.11	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.85 / $680.87 / $1,277.07	Professional		$579.85	$680.87	$1,277.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.29 / $794.67 / $1,318.92	Professional		$586.29	$794.67	$1,318.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $581.49 / $634.36 / $923.71	Facility		$581.49	$634.36	$923.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.76 / $684.11 / $870.69	Professional		$641.76	$684.11	$870.69
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 $632.01 / $901.78 / $1,330.90	Professional		$632.01	$901.78	$1,330.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $755.12	Facility		$755.12	$755.12	$755.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $644.40 / $918.54 / $1,314.18	Professional		$644.40	$918.54	$1,314.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $476.75 / $788.98	Professional		$72.37	$476.75	$788.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.17 / $845.40 / $1,320.50	Professional		$528.17	$845.40	$1,320.50