Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.66 / $7,155.00 / $11,627.00	Facility		$698.66	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.12 / $698.66 / $943.19	Professional		$548.12	$698.66	$943.19
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 $169.03 / $329.65 / $554.61	Professional		$169.03	$329.65	$554.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.30 / $735.70 / $904.21	Facility		$593.30	$735.70	$904.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.04 / $720.57 / $1,113.59	Professional		$617.04	$720.57	$1,113.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $843.30 / $21,571.00	Facility		$425.00	$843.30	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.59 / $905.38 / $1,409.05	Professional		$579.59	$905.38	$1,409.05
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 $579.59 / $911.85 / $1,327.27	Professional		$579.59	$911.85	$1,327.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $351.59 / $404.32 / $507.02	Professional		$351.59	$404.32	$507.02
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 $544.42 / $800.64 / $1,415.10	Professional		$544.42	$800.64	$1,415.10