Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.98 / $4,723.00 / $11,627.00	Facility		$619.98	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.03 / $619.98 / $1,106.90	Professional		$583.03	$619.98	$1,106.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $13,734.14 / $24,478.90	Facility		$2,802.00	$13,734.14	$24,478.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.23 / $769.32 / $1,284.27	Professional		$547.23	$769.32	$1,284.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $592.70 / $711.24 / $880.31	Facility		$592.70	$711.24	$880.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $651.97 / $651.97 / $770.51	Professional		$651.97	$651.97	$770.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $711.65 / $21,571.00	Facility		$425.00	$711.65	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.62 / $829.78 / $1,244.93	Professional		$585.62	$829.78	$1,244.93
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 $592.70 / $835.47 / $1,226.35	Professional		$592.70	$835.47	$1,226.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $549.26 / $834.09	Professional		$66.72	$549.26	$834.09
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 $529.90 / $734.19 / $1,268.17	Professional		$529.90	$734.19	$1,268.17