Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.04 / $4,723.00 / $11,627.00	Facility		$610.04	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.45 / $611.22 / $1,118.23	Professional		$551.45	$611.22	$1,118.23
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 $547.73 / $759.29 / $1,256.75	Professional		$547.73	$759.29	$1,256.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.97 / $701.96 / $868.84	Facility		$584.97	$701.96	$868.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $643.47 / $643.47 / $760.46	Professional		$643.47	$643.47	$760.46
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 $558.66 / $793.50 / $1,227.05	Professional		$558.66	$793.50	$1,227.05
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 $584.97 / $799.63 / $1,221.47	Professional		$584.97	$799.63	$1,221.47
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 $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 $515.42 / $716.62 / $1,267.68	Professional		$515.42	$716.62	$1,267.68