Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.12 / $5,072.00 / $11,581.00	Facility		$914.12	$5,072.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.35 / $615.22 / $1,125.10	Professional		$559.35	$615.22	$1,125.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,392.00 / $14,996.00	Facility		$1,082.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.79 / $647.58 / $1,041.30	Professional		$472.79	$647.58	$1,041.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $589.36 / $766.17 / $1,149.26	Facility		$589.36	$766.17	$1,149.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $648.29 / $736.70 / $1,149.26	Professional		$648.29	$736.70	$1,149.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $2,338.44 / $3,428.85	Facility		$694.00	$2,338.44	$3,428.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.84 / $793.11 / $1,235.50	Professional		$535.84	$793.11	$1,235.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $2,338.44 / $2,554.35	Facility		$694.00	$2,338.44	$2,554.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $551.04 / $825.11 / $1,228.98	Professional		$551.04	$825.11	$1,228.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $555.15 / $830.35	Professional		$66.72	$555.15	$830.35
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 $528.98 / $725.58 / $1,366.14	Professional		$528.98	$725.58	$1,366.14