Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.76 / $3,278.00 / $10,268.00	Facility		$993.76	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.70 / $669.62 / $1,226.50	Professional		$595.70	$669.62	$1,226.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,111.00 / $14,996.00	Facility		$1,082.00	$3,111.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $713.89 / $1,146.71	Professional		$528.54	$713.89	$1,146.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $640.09 / $768.11 / $950.70	Facility		$640.09	$768.11	$950.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $615.65 / $704.10 / $832.12	Professional		$615.65	$704.10	$832.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $3,428.85	Facility		$508.00	$885.00	$3,428.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.55 / $864.13 / $1,333.39	Professional		$583.55	$864.13	$1,333.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,554.35	Facility		$508.00	$885.00	$2,554.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $616.00 / $887.47 / $1,285.72	Professional		$616.00	$887.47	$1,285.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $620.64 / $907.19	Professional		$72.25	$620.64	$907.19
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.54 / $787.89 / $1,392.99	Professional		$561.54	$787.89	$1,392.99