Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.24 / $4,731.00 / $11,581.00	Facility		$842.24	$4,731.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.54 / $842.24 / $1,305.18	Professional		$658.54	$842.24	$1,305.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,528.00 / $19,117.00	Facility		$1,755.00	$3,528.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.15 / $779.51 / $1,334.23	Professional		$491.15	$779.51	$1,334.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.41 / $760.10 / $940.79	Facility		$633.41	$760.10	$940.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.38 / $877.31 / $1,036.82	Professional		$630.38	$877.31	$1,036.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $4,048.28 / $5,935.99	Facility		$694.00	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.98 / $966.48 / $1,547.61	Professional		$665.98	$966.48	$1,547.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $4,048.28 / $4,422.06	Facility		$694.00	$4,048.28	$4,422.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $678.13 / $987.46 / $1,547.61	Professional		$678.13	$987.46	$1,547.61
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 $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 $704.01 / $967.69 / $1,671.90	Professional		$704.01	$967.69	$1,671.90