Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.06 / $6,064.00 / $11,581.00	Facility		$975.06	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.10 / $656.18 / $1,201.18	Professional		$597.10	$656.18	$1,201.18
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 $526.07 / $711.74 / $1,144.98	Professional		$526.07	$711.74	$1,144.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.74 / $754.49 / $933.85	Facility		$628.74	$754.49	$933.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $623.29 / $691.61 / $817.36	Professional		$623.29	$691.61	$817.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $749.26 / $21,571.00	Facility		$425.00	$749.26	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.41 / $860.84 / $1,316.63	Professional		$604.41	$860.84	$1,316.63
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 $624.38 / $880.23 / $1,312.08	Professional		$624.38	$880.23	$1,312.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $609.64 / $893.00	Professional		$72.25	$609.64	$893.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,326.00 / $6,173.00 / $12,385.00	Facility		$1,326.00	$6,173.00	$12,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.38 / $790.56 / $1,379.04	Professional		$557.38	$790.56	$1,379.04