Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.16 / $4,723.00 / $11,627.00	Facility		$550.16	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.21 / $558.59 / $1,013.43	Professional		$502.21	$558.59	$1,013.43
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 $392.11 / $535.11 / $878.62	Professional		$392.11	$535.11	$878.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.11 / $634.92 / $785.86	Facility		$529.11	$634.92	$785.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.24 / $582.02 / $687.84	Professional		$457.24	$582.02	$687.84
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 $476.33 / $687.84 / $1,109.04	Professional		$476.33	$687.84	$1,109.04
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 $480.93 / $705.70 / $1,034.91	Professional		$480.93	$705.70	$1,034.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $539.13 / $781.64	Professional		$71.67	$539.13	$781.64
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 $450.83 / $642.84 / $1,137.03	Professional		$450.83	$642.84	$1,137.03