Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.55 / $5,201.00 / $11,627.00	Facility		$923.55	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.17 / $621.08 / $2,007.20	Professional		$542.17	$621.08	$2,007.20
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 $370.43 / $578.34 / $1,049.60	Professional		$370.43	$578.34	$1,049.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $748.37 / $917.48 / $1,289.18	Facility		$748.37	$917.48	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.32 / $719.59 / $1,122.56	Professional		$486.32	$719.59	$1,122.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $693.82 / $949.77 / $21,571.00	Facility		$693.82	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.63 / $748.37 / $1,237.17	Professional		$518.63	$748.37	$1,237.17
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 $521.71 / $767.23 / $1,195.33	Professional		$521.71	$767.23	$1,195.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $460.58 / $783.81	Professional		$76.18	$460.58	$783.81
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,848.00 / $3,923.00	Facility		$745.00	$1,848.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.34 / $662.02 / $1,341.10	Professional		$466.34	$662.02	$1,341.10