Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $781.65 / $4,723.00 / $11,627.00	Facility		$781.65	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.25 / $781.65 / $1,440.53	Professional		$695.25	$781.65	$1,440.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $3,968.41 / $7,474.03	Facility		$1,830.00	$3,968.41	$7,474.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.83 / $765.72 / $1,266.65	Professional		$583.83	$765.72	$1,266.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.38 / $898.06 / $1,111.53	Facility		$748.38	$898.06	$1,111.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $576.14 / $823.22 / $972.89	Professional		$576.14	$823.22	$972.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $893.51 / $21,571.00	Facility		$425.00	$893.51	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.26 / $998.54 / $1,571.59	Professional		$665.26	$998.54	$1,571.59
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 $686.20 / $1,040.72 / $1,543.05	Professional		$686.20	$1,040.72	$1,543.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $736.04 / $1,081.52	Professional		$72.25	$736.04	$1,081.52
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 $634.42 / $906.32 / $1,628.49	Professional		$634.42	$906.32	$1,628.49