Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.39 / $4,886.00 / $11,581.00	Facility		$599.39	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.95 / $592.67 / $1,124.01	Professional		$409.95	$592.67	$1,124.01
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 $353.36 / $508.65 / $977.83	Professional		$353.36	$508.65	$977.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $514.79 / $631.13 / $1,289.18	Facility		$514.79	$631.13	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.58 / $685.06 / $1,068.71	Professional		$437.58	$685.06	$1,068.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.33 / $949.77 / $21,571.00	Facility		$711.33	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.95 / $632.12 / $1,103.21	Professional		$407.95	$632.12	$1,103.21
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 $415.80 / $641.52 / $1,076.83	Professional		$415.80	$641.52	$1,076.83
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 $495.44 / $633.36 / $1,277.08	Professional		$495.44	$633.36	$1,277.08