Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.21 / $4,723.00 / $11,627.00	Facility		$989.21	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.82 / $1,004.48 / $1,840.59	Professional		$923.82	$1,004.48	$1,840.59
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 $741.69 / $1,003.08 / $1,614.26	Professional		$741.69	$1,003.08	$1,614.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $944.08 / $1,132.90 / $1,402.20	Facility		$944.08	$1,132.90	$1,402.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.08 / $1,038.49 / $1,227.30	Professional		$879.08	$1,038.49	$1,227.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,129.03 / $21,571.00	Facility		$425.00	$1,129.03	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.82 / $1,274.51 / $1,982.58	Professional		$868.82	$1,274.51	$1,982.58
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 $882.72 / $1,321.72 / $1,947.76	Professional		$882.72	$1,321.72	$1,947.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $938.76 / $1,371.35	Professional		$72.25	$938.76	$1,371.35
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 $844.21 / $1,175.46 / $2,094.36	Professional		$844.21	$1,175.46	$2,094.36