Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.89 / $4,723.00 / $11,627.00	Facility		$821.89	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $853.52 / $1,493.78	Professional		$798.50	$853.52	$1,493.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.00 / $3,554.00 / $19,117.00	Facility		$1,069.00	$3,554.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.80 / $1,021.24 / $1,727.56	Professional		$814.80	$1,021.24	$1,727.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $785.57 / $942.68 / $1,166.77	Facility		$785.57	$942.68	$1,166.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.04 / $864.13 / $1,021.24	Professional		$776.04	$864.13	$1,021.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $3,518.57 / $5,935.99	Facility		$530.00	$3,518.57	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.62 / $1,098.25 / $1,677.92	Professional		$699.62	$1,098.25	$1,677.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $3,518.57 / $4,422.06	Facility		$530.00	$3,518.57	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $729.38 / $1,108.28 / $1,658.70	Professional		$729.38	$1,108.28	$1,658.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $766.95 / $1,145.94	Professional		$72.25	$766.95	$1,145.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,228.00 / $10,023.00	Facility		$1,050.00	$6,228.00	$10,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $721.90 / $1,024.22 / $1,675.88	Professional		$721.90	$1,024.22	$1,675.88