Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.91 / $4,723.00 / $11,627.00	Facility		$811.91	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.09 / $816.90 / $1,501.13	Professional		$757.09	$816.90	$1,501.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $746.24 / $979.81 / $1,594.32	Professional		$746.24	$979.81	$1,594.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $795.06 / $954.07 / $1,180.85	Facility		$795.06	$954.07	$1,180.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $612.09 / $874.57 / $1,033.58	Professional		$612.09	$874.57	$1,033.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,200.00	Facility		$425.00	$581.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.56 / $1,113.08 / $1,687.30	Professional		$721.56	$1,113.08	$1,687.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,200.00	Facility		$425.00	$562.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $757.20 / $1,130.49 / $1,680.49	Professional		$757.20	$1,130.49	$1,680.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $788.37 / $1,140.07	Professional		$72.25	$788.37	$1,140.07
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.16 / $1,035.05 / $1,732.55	Professional		$733.16	$1,035.05	$1,732.55