Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.56 / $4,723.00 / $10,635.00	Facility		$914.56	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.77 / $620.54 / $1,133.48	Professional		$567.77	$620.54	$1,133.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,722.00 / $8,800.00	Facility		$918.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.86 / $596.45 / $982.77	Professional		$440.86	$596.45	$982.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $590.82 / $708.98 / $877.52	Facility		$590.82	$708.98	$877.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $461.07 / $649.90 / $768.07	Professional		$461.07	$649.90	$768.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $1,939.90 / $2,844.48	Facility		$581.00	$1,939.90	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.13 / $780.73 / $1,240.73	Professional		$526.13	$780.73	$1,240.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $1,939.90 / $2,119.01	Facility		$581.00	$1,939.90	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $535.65 / $796.10 / $1,156.91	Professional		$535.65	$796.10	$1,156.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $585.06 / $860.03	Professional		$72.25	$585.06	$860.03
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 $504.08 / $716.51 / $1,271.20	Professional		$504.08	$716.51	$1,271.20