Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.48 / $4,886.00 / $11,581.00	Facility		$541.48	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.33 / $541.48 / $1,062.68	Professional		$419.33	$541.48	$1,062.68
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 $349.62 / $501.82 / $936.11	Professional		$349.62	$501.82	$936.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.72 / $642.05 / $1,289.18	Facility		$523.72	$642.05	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.16 / $622.17 / $970.59	Professional		$445.16	$622.17	$970.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.54 / $949.77 / $21,571.00	Facility		$723.54	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.16 / $610.59 / $1,095.32	Professional		$403.16	$610.59	$1,095.32
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 $403.16 / $622.17 / $969.38	Professional		$403.16	$622.17	$969.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $367.15 / $660.37	Professional		$75.13	$367.15	$660.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,321.00 / $7,351.00	Facility		$1,981.00	$4,321.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.19 / $573.73 / $1,155.73	Professional		$462.19	$573.73	$1,155.73