Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.50 / $4,723.00 / $11,627.00	Facility		$630.50	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.75 / $630.50 / $1,127.67	Professional		$591.75	$630.50	$1,127.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $7,614.00 / $14,960.03	Facility		$2,785.00	$7,614.00	$14,960.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.10 / $709.05 / $1,158.75	Professional		$534.10	$709.05	$1,158.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $601.42 / $721.72 / $893.28	Facility		$601.42	$721.72	$893.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $652.30 / $661.57 / $781.86	Professional		$652.30	$661.57	$781.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $723.86 / $21,571.00	Facility		$425.00	$723.86	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.92 / $842.00 / $1,264.81	Professional		$587.92	$842.00	$1,264.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $601.42 / $845.59 / $1,247.63	Professional		$601.42	$845.59	$1,247.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $596.48 / $871.13	Professional		$72.25	$596.48	$871.13
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.19 / $723.52 / $1,279.67	Professional		$534.19	$723.52	$1,279.67