Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.43 / $4,723.00 / $11,627.00	Facility		$971.43	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $895.56 / $974.82 / $1,781.66	Professional		$895.56	$974.82	$1,781.66
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 $750.50 / $1,026.20 / $1,697.23	Professional		$750.50	$1,026.20	$1,697.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $929.84 / $1,115.81 / $1,381.05	Facility		$929.84	$1,115.81	$1,381.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $887.55 / $1,022.82 / $1,208.79	Professional		$887.55	$1,022.82	$1,208.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,113.11 / $21,571.00	Facility		$425.00	$1,113.11	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.15 / $1,285.72 / $1,957.65	Professional		$855.15	$1,285.72	$1,957.65
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 $869.40 / $1,301.78 / $1,946.14	Professional		$869.40	$1,301.78	$1,946.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $818.20 / $1,318.92	Professional		$76.37	$818.20	$1,318.92
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 $822.09 / $1,150.93 / $2,053.50	Professional		$822.09	$1,150.93	$2,053.50