Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.02 / $7,677.00 / $11,627.00	Facility		$494.02	$7,677.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.36 / $494.02 / $6,249.99	Professional		$447.36	$494.02	$6,249.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,175.00 / $14,996.00	Facility		$919.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $409.24 / $682.81	Professional		$305.14	$409.24	$682.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $471.72 / $566.05 / $700.63	Facility		$471.72	$566.05	$700.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $518.89 / $613.24	Professional		$382.30	$518.89	$613.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $564.91 / $21,571.00	Facility		$425.00	$564.91	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.05 / $632.14 / $1,010.25	Professional		$459.05	$632.14	$1,010.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $564.91 / $1,200.00	Facility		$425.00	$564.91	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $469.90 / $634.48 / $947.92	Professional		$469.90	$634.48	$947.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $310.15 / $388.93	Professional		$269.70	$310.15	$388.93
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 $343.86 / $493.13 / $747.27	Professional		$343.86	$493.13	$747.27