Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.48 / $5,597.00 / $10,817.74	Facility		$888.48	$5,597.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.18 / $597.50 / $1,060.16	Professional		$491.18	$597.50	$1,060.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $6,904.00 / $36,529.00	Facility		$1,267.00	$6,904.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.03 / $329.65 / $554.61	Professional		$169.03	$329.65	$554.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.99 / $584.39 / $723.31	Facility		$486.99	$584.39	$723.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $535.69 / $538.12 / $827.88	Professional		$535.69	$538.12	$827.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $21,571.00	Facility		$425.00	$600.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.06 / $817.31 / $1,307.70	Professional		$507.06	$817.31	$1,307.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,200.00	Facility		$425.00	$581.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $820.78 / $1,220.48	Professional		$511.00	$820.78	$1,220.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $201.14 / $252.23	Professional		$174.91	$201.14	$252.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,430.00 / $9,884.48 / $13,908.00	Facility		$1,430.00	$9,884.48	$13,908.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.62 / $446.63 / $1,150.34	Professional		$299.62	$446.63	$1,150.34