Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.55 / $5,135.00 / $11,627.00	Facility		$863.55	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $607.69 / $1,010.81	Professional		$494.38	$607.69	$1,010.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $2,722.00 / $8,800.00	Facility		$919.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.10 / $592.32 / $932.99	Professional		$445.10	$592.32	$932.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.79 / $670.56 / $829.96	Facility		$558.79	$670.56	$829.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $614.67 / $614.67 / $726.44	Professional		$614.67	$614.67	$726.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.60 / $1,939.90 / $2,844.48	Facility		$666.60	$1,939.90	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.58 / $736.80 / $1,142.78	Professional		$488.58	$736.80	$1,142.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $666.60 / $1,939.90 / $2,119.01	Facility		$666.60	$1,939.90	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $502.92 / $760.72 / $1,104.13	Professional		$502.92	$760.72	$1,104.13
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 $464.66 / $668.60 / $1,139.18	Professional		$464.66	$668.60	$1,139.18