Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.30 / $4,723.00 / $11,627.00	Facility		$688.30	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.44 / $690.27 / $1,255.93	Professional		$626.44	$690.27	$1,255.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.47 / $732.45 / $1,211.61	Professional		$558.47	$732.45	$1,211.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $681.29 / $817.55 / $1,011.89	Facility		$681.29	$817.55	$1,011.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $749.42 / $885.68	Professional		$548.12	$749.42	$885.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $804.60 / $21,571.00	Facility		$425.00	$804.60	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.33 / $911.32 / $1,406.68	Professional		$619.33	$911.32	$1,406.68
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 $636.08 / $932.83 / $1,371.89	Professional		$636.08	$932.83	$1,371.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $669.35 / $976.59	Professional		$72.25	$669.35	$976.59
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 $591.05 / $824.95 / $1,443.95	Professional		$591.05	$824.95	$1,443.95