Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.55 / $5,201.00 / $11,627.00	Facility		$949.55	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.32 / $668.95 / $1,211.35	Professional		$565.32	$668.95	$1,211.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $640.88 / $1,131.00	Professional		$469.61	$640.88	$1,131.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $768.55 / $942.21 / $1,994.14	Facility		$768.55	$942.21	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $585.78 / $738.99 / $1,152.83	Professional		$585.78	$738.99	$1,152.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.57 / $1,469.12 / $21,571.00	Facility		$713.57	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.73 / $815.88 / $1,281.90	Professional		$532.73	$815.88	$1,281.90
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 $535.96 / $827.64 / $1,195.50	Professional		$535.96	$827.64	$1,195.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $459.40 / $782.60	Professional		$76.18	$459.40	$782.60
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 $545.77 / $690.43 / $1,431.96	Professional		$545.77	$690.43	$1,431.96