Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.68 / $2,443.64 / $47,954.60	Facility		$860.68	$2,443.64	$47,954.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.60 / $3,700.69 / $47,954.60	Professional		$1,220.60	$3,700.69	$47,954.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.16 / $8,487.59 / $24,869.70	Professional		$824.16	$8,487.59	$24,869.70
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $131.86 / $1,358.01 / $3,979.15	Professional	80	$131.86	$1,358.01	$3,979.15
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $115.38 / $1,188.26 / $3,481.75	Professional	AS	$115.38	$1,188.26	$3,481.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $681.07 / $991.74 / $1,064.18	Facility		$681.07	$991.74	$1,064.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9,510.15 / $10,170.33 / $18,029.22	Professional		$9,510.15	$10,170.33	$18,029.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.86 / $1,088.86 / $1,088.86	Professional		$1,088.86	$1,088.86	$1,088.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25,741.41 / $28,053.09 / $28,053.09	Professional		$25,741.41	$28,053.09	$28,053.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,609.42 / $11,447.30 / $15,839.51	Professional		$8,609.42	$11,447.30	$15,839.51
United Facility/Professional Facility Modifier Low / Median / High Price $36,046.75 / $36,046.75 / $42,088.11	Facility		$36,046.75	$36,046.75	$42,088.11
United Facility/Professional Professional Modifier Low / Median / High Price $13,406.28 / $18,610.16 / $26,079.17	Professional		$13,406.28	$18,610.16	$26,079.17