Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.85 / $5,135.00 / $11,627.00	Facility		$900.85	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.78 / $606.88 / $1,110.98	Professional		$551.78	$606.88	$1,110.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,405.00 / $14,996.00	Facility		$1,622.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.60 / $623.16 / $1,024.13	Professional		$460.60	$623.16	$1,024.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $581.23 / $755.60 / $1,133.40	Facility		$581.23	$755.60	$1,133.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $639.35 / $726.54 / $1,133.40	Professional		$639.35	$726.54	$1,133.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $2,338.44 / $3,428.85	Facility		$581.00	$2,338.44	$3,428.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.63 / $780.92 / $1,218.07	Professional		$528.63	$780.92	$1,218.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $2,338.44 / $2,554.35	Facility		$581.00	$2,338.44	$2,554.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $541.94 / $813.73 / $1,200.59	Professional		$541.94	$813.73	$1,200.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $564.22 / $818.65	Professional		$72.25	$564.22	$818.65
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 $509.01 / $715.21 / $1,261.88	Professional		$509.01	$715.21	$1,261.88