Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.46 / $6,064.00 / $11,581.00	Facility		$842.46	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.61 / $566.54 / $1,045.22	Professional		$510.61	$566.54	$1,045.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,555.00 / $19,117.00	Facility		$1,755.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.98 / $624.33 / $1,002.67	Professional		$468.98	$624.33	$1,002.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.90 / $651.48 / $806.35	Facility		$542.90	$651.48	$806.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $597.19 / $705.77	Professional		$510.00	$597.19	$705.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.83 / $4,048.28 / $5,935.99	Facility		$652.83	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $718.60 / $1,128.94	Professional		$519.00	$718.60	$1,128.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $652.83 / $4,048.28 / $4,422.06	Facility		$652.83	$4,048.28	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $532.04 / $744.42 / $1,099.01	Professional		$532.04	$744.42	$1,099.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $521.57 / $768.42	Professional		$72.25	$521.57	$768.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.53 / $674.48 / $1,195.18	Professional		$490.53	$674.48	$1,195.18