Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.15 / $5,135.00 / $10,817.74	Facility		$708.15	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.06 / $460.07 / $1,481.87	Professional		$407.06	$460.07	$1,481.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.34 / $459.32 / $817.30	Professional		$339.34	$459.32	$817.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.89 / $677.82 / $1,525.80	Facility		$552.89	$677.82	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.12 / $531.63 / $829.34	Professional		$418.12	$531.63	$829.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.23 / $1,124.08 / $21,571.00	Facility		$515.23	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.36 / $582.54 / $914.09	Professional		$384.36	$582.54	$914.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $385.81 / $582.54 / $859.16	Professional		$385.81	$582.54	$859.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $318.52 / $559.76	Professional		$75.13	$318.52	$559.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.37 / $495.69 / $1,030.78	Professional		$388.37	$495.69	$1,030.78