Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.43 / $5,135.00 / $10,817.74	Facility		$865.43	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.62 / $562.24 / $1,812.88	Professional		$493.62	$562.24	$1,812.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.54 / $563.00 / $993.54	Professional		$412.54	$563.00	$993.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.71 / $828.41 / $1,525.80	Facility		$675.71	$828.41	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.59 / $649.73 / $1,013.57	Professional		$520.59	$649.73	$1,013.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.95 / $1,124.08 / $21,571.00	Facility		$628.95	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.51 / $718.09 / $1,117.77	Professional		$469.51	$718.09	$1,117.77
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 $471.99 / $724.37 / $1,052.00	Professional		$471.99	$724.37	$1,052.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $383.45 / $671.41	Professional		$75.13	$383.45	$671.41
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 $479.21 / $627.45 / $1,261.04	Professional		$479.21	$627.45	$1,261.04