Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.35 / $3,325.00 / $10,635.00	Facility		$650.35	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.55 / $437.36 / $1,399.09	Professional		$385.55	$437.36	$1,399.09
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 $324.50 / $458.12 / $781.55	Professional		$324.50	$458.12	$781.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.65 / $648.11 / $1,289.18	Facility		$528.65	$648.11	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $447.32 / $508.31 / $792.98	Professional		$447.32	$508.31	$792.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.28 / $949.77 / $21,571.00	Facility		$490.28	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.30 / $565.72 / $873.94	Professional		$365.30	$565.72	$873.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $569.30 / $812.01	Professional		$365.52	$569.30	$812.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $360.31 / $561.81	Professional		$72.25	$360.31	$561.81
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 $372.37 / $473.54 / $1,008.64	Professional		$372.37	$473.54	$1,008.64