Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.09 / $4,723.00 / $11,627.00	Facility		$663.09	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.94 / $669.65 / $1,219.08	Professional		$596.94	$669.65	$1,219.08
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 $497.19 / $671.00 / $1,078.66	Professional		$497.19	$671.00	$1,078.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.55 / $765.07 / $946.94	Facility		$637.55	$765.07	$946.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.20 / $701.32 / $828.83	Professional		$530.20	$701.32	$828.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $759.22 / $21,571.00	Facility		$425.00	$759.22	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.26 / $836.78 / $1,337.86	Professional		$573.26	$836.78	$1,337.86
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 $580.20 / $860.71 / $1,265.09	Professional		$580.20	$860.71	$1,265.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $628.29 / $919.74	Professional		$72.25	$628.29	$919.74
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 $555.20 / $774.87 / $1,368.40	Professional		$555.20	$774.87	$1,368.40