Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.28 / $5,135.00 / $10,817.74	Facility		$749.28	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.06 / $485.78 / $1,567.70	Professional		$430.06	$485.78	$1,567.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.76 / $486.73 / $866.43	Professional		$359.76	$486.73	$866.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $582.52 / $714.15 / $1,994.14	Facility		$582.52	$714.15	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.18 / $560.11 / $873.78	Professional		$458.18	$560.11	$873.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.53 / $1,469.12 / $21,571.00	Facility		$542.53	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.53 / $622.19 / $977.84	Professional		$405.53	$622.19	$977.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $409.15 / $622.19 / $912.48	Professional		$409.15	$622.19	$912.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $391.68 / $617.40	Professional		$72.32	$391.68	$617.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.86 / $515.29 / $1,049.84	Professional		$407.86	$515.29	$1,049.84