Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.61 / $6,251.00 / $11,581.00	Facility		$771.61	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.93 / $500.84 / $1,623.47	Professional		$437.93	$500.84	$1,623.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.74 / $516.28 / $926.60	Professional		$384.74	$516.28	$926.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $603.71 / $740.12 / $1,994.14	Facility		$603.71	$740.12	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $509.00 / $580.49 / $905.57	Professional		$509.00	$580.49	$905.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.60 / $1,469.12 / $21,571.00	Facility		$559.60	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.01 / $650.15 / $1,010.09	Professional		$418.01	$650.15	$1,010.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $422.39 / $650.15 / $952.29	Professional		$422.39	$650.15	$952.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $355.81 / $630.20	Professional		$75.13	$355.81	$630.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.85 / $528.73 / $1,083.80	Professional		$428.85	$528.73	$1,083.80