Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.12 / $4,723.00 / $11,627.00	Facility		$947.12	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.35 / $949.07 / $1,742.43	Professional		$865.35	$949.07	$1,742.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,877.00 / $3,943.00	Facility		$711.00	$1,877.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $713.06 / $966.22 / $1,588.54	Professional		$713.06	$966.22	$1,588.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $907.74 / $1,089.29 / $1,348.24	Facility		$907.74	$1,089.29	$1,348.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $682.13 / $998.51 / $1,180.06	Professional		$682.13	$998.51	$1,180.06
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 $830.50 / $1,253.54 / $1,908.16	Professional		$830.50	$1,253.54	$1,908.16
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 $830.50 / $1,270.83 / $1,902.99	Professional		$830.50	$1,270.83	$1,902.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $789.40 / $1,275.39	Professional		$76.37	$789.40	$1,275.39
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.01 / $1,115.67 / $1,995.04	Professional		$810.01	$1,115.67	$1,995.04