Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.77 / $2,849.00 / $10,268.00	Facility		$685.77	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.25 / $675.99 / $1,300.90	Professional		$475.25	$675.99	$1,300.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.98 / $594.89 / $1,187.09	Professional		$397.98	$594.89	$1,187.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $543.40 / $722.60 / $884.12	Facility		$543.40	$722.60	$884.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.00 / $781.85 / $1,219.68	Professional		$501.00	$781.85	$1,219.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.34 / $446.42 / $21,571.00	Facility		$400.34	$446.42	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.20 / $728.64 / $1,326.28	Professional		$457.20	$728.64	$1,326.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.34 / $400.34 / $446.42	Facility		$400.34	$400.34	$446.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $476.06 / $748.09 / $1,224.90	Professional		$476.06	$748.09	$1,224.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $473.77 / $831.34	Professional		$76.13	$473.77	$831.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,474.00 / $4,951.00	Facility		$1,368.00	$2,474.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.07 / $741.22 / $1,485.63	Professional		$601.07	$741.22	$1,485.63