Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.37 / $4,723.00 / $11,627.00	Facility		$605.37	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.14 / $605.37 / $1,109.11	Professional		$560.14	$605.37	$1,109.11
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 $451.31 / $607.41 / $979.14	Professional		$451.31	$607.41	$979.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.26 / $695.11 / $860.35	Facility		$579.26	$695.11	$860.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.05 / $637.19 / $753.04	Professional		$504.05	$637.19	$753.04
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 $535.52 / $777.49 / $1,216.44	Professional		$535.52	$777.49	$1,216.44
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 $563.17 / $805.05 / $1,170.34	Professional		$563.17	$805.05	$1,170.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $572.77 / $833.00	Professional		$72.25	$572.77	$833.00
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 $505.83 / $706.73 / $1,246.92	Professional		$505.83	$706.73	$1,246.92