Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.02 / $7,155.00 / $11,627.00	Facility		$789.02	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $789.02 / $1,054.18	Professional		$621.76	$789.02	$1,054.18
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 $134.53 / $350.97 / $660.86	Professional		$134.53	$350.97	$660.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.30 / $759.43 / $1,015.66	Facility		$593.30	$759.43	$1,015.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.04 / $783.32 / $1,210.58	Professional		$617.04	$783.32	$1,210.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $902.24 / $21,571.00	Facility		$425.00	$902.24	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.38 / $1,043.50 / $1,637.77	Professional		$623.38	$1,043.50	$1,637.77
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 $654.19 / $1,044.30 / $1,517.61	Professional		$654.19	$1,044.30	$1,517.61
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 $542.04 / $792.91 / $1,591.81	Professional		$542.04	$792.91	$1,591.81