Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.08 / $3,278.00 / $10,268.00	Facility		$839.08	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.39 / $569.52 / $1,035.98	Professional		$523.39	$569.52	$1,035.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,707.00 / $8,800.00	Facility		$918.00	$2,707.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.53 / $551.70 / $899.59	Professional		$395.53	$551.70	$899.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.17 / $650.62 / $805.27	Facility		$542.17	$650.62	$805.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.15 / $596.40 / $704.83	Professional		$533.15	$596.40	$704.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,844.48	Facility		$508.00	$885.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.37 / $704.83 / $1,135.90	Professional		$487.37	$704.83	$1,135.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,119.01	Facility		$508.00	$885.00	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $487.96 / $731.94 / $1,055.85	Professional		$487.96	$731.94	$1,055.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $547.14 / $811.62	Professional		$72.25	$547.14	$811.62
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.75 / $663.47 / $1,163.36	Professional		$461.75	$663.47	$1,163.36