Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.97 / $5,135.00 / $11,627.00	Facility		$889.97	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.97 / $612.52 / $1,095.91	Professional		$580.97	$612.52	$1,095.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $2,443.00 / $8,800.00	Facility		$919.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.21 / $716.57 / $1,158.07	Professional		$546.21	$716.57	$1,158.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.62 / $683.54 / $846.03	Facility		$569.62	$683.54	$846.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.07 / $626.58 / $740.51	Professional		$616.07	$626.58	$740.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.32 / $1,935.02 / $2,837.31	Facility		$686.32	$1,935.02	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.11 / $797.47 / $1,218.99	Professional		$519.11	$797.47	$1,218.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $686.32 / $1,935.02 / $2,113.67	Facility		$686.32	$1,935.02	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $569.62 / $810.54 / $1,197.08	Professional		$569.62	$810.54	$1,197.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $570.79 / $834.78	Professional		$72.25	$570.79	$834.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,092.00 / $5,605.00 / $8,846.00	Facility		$1,092.00	$5,605.00	$8,846.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.08 / $734.25 / $1,251.33	Professional		$528.08	$734.25	$1,251.33