Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.36 / $3,325.00 / $10,635.00	Facility		$734.36	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.17 / $493.85 / $1,588.02	Professional		$430.17	$493.85	$1,588.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.26 / $487.55 / $860.41	Professional		$357.26	$487.55	$860.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.49 / $727.59 / $2,631.55	Facility		$593.49	$727.59	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.19 / $570.66 / $890.24	Professional		$404.19	$570.66	$890.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.64 / $1,938.72 / $21,571.00	Facility		$553.64	$1,938.72	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $612.28 / $980.46	Professional		$412.70	$612.28	$980.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,938.72 / $1,938.72 / $2,161.90	Facility		$1,938.72	$1,938.72	$2,161.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $413.59 / $612.28 / $923.71	Professional		$413.59	$612.28	$923.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $344.08 / $585.03	Professional		$75.13	$344.08	$585.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,138.00 / $7,351.00	Facility		$1,981.00	$4,138.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.62 / $537.48 / $1,105.02	Professional		$415.62	$537.48	$1,105.02