Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.03 / $3,278.00 / $10,268.00	Facility		$1,157.03	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.18 / $778.10 / $1,281.32	Professional		$678.18	$778.10	$1,281.32
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 $613.75 / $846.50 / $1,355.32	Professional		$613.75	$846.50	$1,355.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.45 / $894.30 / $1,106.89	Facility		$724.45	$894.30	$1,106.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $764.33 / $819.78 / $968.83	Professional		$764.33	$819.78	$968.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,200.00	Facility		$425.00	$581.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.72 / $1,006.67 / $1,448.61	Professional		$670.72	$1,006.67	$1,448.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,200.00	Facility		$425.00	$562.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $696.81 / $1,043.34 / $1,437.16	Professional		$696.81	$1,043.34	$1,437.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $752.49 / $1,088.94	Professional		$72.25	$752.49	$1,088.94
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.63 / $877.27 / $1,486.77	Professional		$622.63	$877.27	$1,486.77