Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.97 / $4,723.00 / $11,627.00	Facility		$766.97	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.72 / $766.97 / $1,408.72	Professional		$693.72	$766.97	$1,408.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.17 / $838.09 / $1,359.08	Professional		$620.17	$838.09	$1,359.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $734.64 / $881.57 / $1,091.14	Facility		$734.64	$881.57	$1,091.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.82 / $808.10 / $955.03	Professional		$763.82	$808.10	$955.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $876.60 / $21,571.00	Facility		$425.00	$876.60	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $672.29 / $1,002.75 / $1,535.52	Professional		$672.29	$1,002.75	$1,535.52
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 $687.06 / $1,028.49 / $1,516.76	Professional		$687.06	$1,028.49	$1,516.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $727.83 / $1,053.63	Professional		$72.25	$727.83	$1,053.63
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 $637.75 / $888.46 / $1,595.46	Professional		$637.75	$888.46	$1,595.46