Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.85 / $4,723.00 / $11,627.00	Facility		$692.85	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.80 / $692.85 / $1,270.28	Professional		$628.80	$692.85	$1,270.28
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 $556.87 / $751.77 / $1,195.11	Professional		$556.87	$751.77	$1,195.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $664.74 / $797.69 / $987.32	Facility		$664.74	$797.69	$987.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.94 / $731.21 / $864.16	Professional		$645.94	$731.21	$864.16
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 $637.12 / $903.69 / $1,396.17	Professional		$637.12	$903.69	$1,396.17
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 $659.90 / $930.63 / $1,373.43	Professional		$659.90	$930.63	$1,373.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $669.35 / $976.59	Professional		$72.25	$669.35	$976.59
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 $583.70 / $814.73 / $1,442.66	Professional		$583.70	$814.73	$1,442.66