Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.23 / $4,723.00 / $11,627.00	Facility		$849.23	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $736.90 / $849.23 / $1,415.39	Professional		$736.90	$849.23	$1,415.39
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 $653.17 / $876.03 / $1,423.22	Professional		$653.17	$876.03	$1,423.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $813.27 / $975.92 / $1,207.92	Facility		$813.27	$975.92	$1,207.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $657.72 / $894.60 / $1,057.25	Professional		$657.72	$894.60	$1,057.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $970.76 / $21,571.00	Facility		$425.00	$970.76	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.37 / $1,104.51 / $1,707.87	Professional		$730.37	$1,104.51	$1,707.87
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 $746.46 / $1,131.05 / $1,681.05	Professional		$746.46	$1,131.05	$1,681.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $811.14 / $1,176.79	Professional		$72.25	$811.14	$1,176.79
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 $704.71 / $1,008.53 / $1,795.83	Professional		$704.71	$1,008.53	$1,795.83