Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.24 / $7,710.00 / $11,735.00	Facility		$1,151.24	$7,710.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.25 / $775.88 / $1,426.10	Professional		$710.25	$775.88	$1,426.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,501.00 / $13,714.86 / $25,522.00	Facility		$3,501.00	$13,714.86	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.66 / $926.96 / $1,486.20	Professional		$664.66	$926.96	$1,486.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $741.57 / $889.88 / $1,101.43	Facility		$741.57	$889.88	$1,101.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $815.73 / $815.73 / $964.04	Professional		$815.73	$815.73	$964.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $885.05 / $21,571.00	Facility		$425.00	$885.05	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.41 / $1,036.00 / $1,562.02	Professional		$694.41	$1,036.00	$1,562.02
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 $721.56 / $1,038.20 / $1,557.30	Professional		$721.56	$1,038.20	$1,557.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $736.04 / $1,081.52	Professional		$72.25	$736.04	$1,081.52
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 $656.84 / $922.48 / $1,623.77	Professional		$656.84	$922.48	$1,623.77