Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.13 / $4,723.00 / $11,627.00	Facility		$565.13	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.50 / $570.99 / $1,036.41	Professional		$497.50	$570.99	$1,036.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $6,459.78 / $12,695.35	Facility		$2,644.00	$6,459.78	$12,695.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.56 / $527.64 / $902.61	Professional		$387.56	$527.64	$902.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $653.14 / $808.40	Facility		$544.28	$653.14	$808.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.64 / $598.71 / $707.56	Professional		$450.64	$598.71	$707.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,200.00	Facility		$425.00	$581.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.92 / $702.42 / $1,130.20	Professional		$480.92	$702.42	$1,130.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,200.00	Facility		$425.00	$562.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $485.41 / $721.38 / $1,061.60	Professional		$485.41	$721.38	$1,061.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $549.47 / $801.37	Professional		$71.67	$549.47	$801.37
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 $459.47 / $642.25 / $1,158.72	Professional		$459.47	$642.25	$1,158.72