Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.11 / $4,886.00 / $11,581.00	Facility		$599.11	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $582.83 / $1,186.19	Professional		$410.24	$582.83	$1,186.19
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 $334.59 / $493.67 / $948.03	Professional		$334.59	$493.67	$948.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $514.85 / $631.19 / $1,289.18	Facility		$514.85	$631.19	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.62 / $684.74 / $1,068.20	Professional		$437.62	$684.74	$1,068.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.36 / $949.77 / $21,571.00	Facility		$711.36	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.15 / $622.54 / $1,100.45	Professional		$400.15	$622.54	$1,100.45
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 $415.84 / $629.96 / $1,068.35	Professional		$415.84	$629.96	$1,068.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $406.19 / $698.10	Professional		$74.89	$406.19	$698.10
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 $491.96 / $623.08 / $1,329.90	Professional		$491.96	$623.08	$1,329.90