Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.77 / $2,849.00 / $10,268.00	Facility		$401.77	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.55 / $669.31 / $1,389.80	Professional		$219.55	$669.31	$1,389.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $789.64 / $1,766.01	Professional		$204.30	$789.64	$1,766.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.45 / $234.61 / $278.77	Facility		$191.45	$234.61	$278.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $752.99 / $927.04 / $1,053.45	Professional		$752.99	$927.04	$1,053.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $21,571.00	Facility		$336.96	$336.96	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.36 / $601.47 / $1,821.71	Professional		$223.36	$601.47	$1,821.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $336.96 / $336.96 / $1,145.89	Facility		$336.96	$336.96	$1,145.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $225.23 / $490.88 / $1,732.60	Professional		$225.23	$490.88	$1,732.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $776.99 / $1,017.25 / $1,408.69	Professional		$776.99	$1,017.25	$1,408.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.67 / $1,533.12 / $2,425.80	Professional		$1,019.67	$1,533.12	$2,425.80