Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $4,290.10 / $13,011.48	Facility		$590.46	$4,290.10	$13,011.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $605.22 / $874.96	Professional		$590.46	$605.22	$874.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.44 / $589.41 / $1,366.66	Facility		$332.44	$589.41	$1,366.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.44 / $632.25 / $1,134.23	Professional		$526.44	$632.25	$1,134.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,472.95 / $7,472.95 / $12,704.02	Facility		$7,472.95	$7,472.95	$12,704.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $871.84 / $7,472.95 / $7,472.95	Professional		$871.84	$7,472.95	$7,472.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.12 / $707.39 / $1,045.70	Facility		$615.12	$707.39	$1,045.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $615.12 / $725.84 / $1,118.11	Facility		$615.12	$725.84	$1,118.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $738.07	Professional		$627.36	$627.36	$738.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,535.52 / $6,919.40 / $8,026.50	Professional		$5,535.52	$6,919.40	$8,026.50
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $763.29	Professional		$615.05	$615.05	$763.29