Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.14 / $5,135.00 / $11,581.00	Facility		$770.14	$5,135.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.65 / $1,992.62 / $3,068.30	Professional		$422.65	$1,992.62	$3,068.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.91 / $1,989.28 / $3,353.92	Professional		$479.91	$1,989.28	$3,353.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.19 / $648.77 / $3,745.69	Facility		$529.19	$648.77	$3,745.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.81 / $2,260.69 / $3,526.68	Professional		$449.81	$2,260.69	$3,526.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.94 / $2,759.52 / $21,571.00	Facility		$730.94	$2,759.52	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.30 / $1,808.55 / $3,857.81	Professional		$413.30	$1,808.55	$3,857.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,759.52 / $2,759.52 / $3,077.19	Facility		$2,759.52	$2,759.52	$3,077.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $427.42 / $1,877.80 / $3,701.56	Professional		$427.42	$1,877.80	$3,701.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.56 / $1,380.77 / $2,406.31	Professional		$222.56	$1,380.77	$2,406.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,231.00 / $10,075.00	Facility		$2,912.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,947.39 / $2,507.27 / $5,100.33	Professional		$1,947.39	$2,507.27	$5,100.33