Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.00 / $3,278.00 / $10,268.00	Facility		$909.00	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.95 / $627.29 / $1,092.16	Professional		$581.95	$627.29	$1,092.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.53 / $634.92 / $1,086.07	Professional		$450.53	$634.92	$1,086.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $582.96 / $699.55 / $865.84	Facility		$582.96	$699.55	$865.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.11 / $641.26 / $757.85	Professional		$595.11	$641.26	$757.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,837.31	Facility		$508.00	$885.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $810.86 / $1,224.22	Professional		$525.50	$810.86	$1,224.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,113.67	Facility		$508.00	$885.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $571.29 / $820.08 / $1,195.80	Professional		$571.29	$820.08	$1,195.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $580.71 / $853.84	Professional		$72.25	$580.71	$853.84
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.39 / $735.67 / $1,266.75	Professional		$531.39	$735.67	$1,266.75