Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.19 / $5,597.00 / $10,817.74	Facility		$844.19	$5,597.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.54 / $567.71 / $993.58	Professional		$458.54	$567.71	$993.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $3,967.00 / $25,522.00	Facility		$1,425.00	$3,967.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $350.97 / $632.22	Professional		$134.53	$350.97	$632.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.80 / $720.05 / $18,555.24	Facility		$484.80	$720.05	$18,555.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.28 / $535.70 / $824.16	Professional		$533.28	$535.70	$824.16
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 $479.99 / $762.74 / $1,180.71	Professional		$479.99	$762.74	$1,180.71
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 $497.00 / $764.30 / $1,143.59	Professional		$497.00	$764.30	$1,143.59
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 $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.62 / $457.90 / $983.65	Professional		$299.62	$457.90	$983.65