Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.94 / $5,135.00 / $10,817.74	Facility		$877.94	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.23 / $590.41 / $1,186.74	Professional		$535.23	$590.41	$1,186.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.27 / $659.04 / $1,049.14	Professional		$499.27	$659.04	$1,049.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.28 / $689.57 / $915.84	Facility		$537.28	$689.57	$915.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $632.10 / $804.50 / $127,498.73	Professional		$632.10	$804.50	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.49 / $833.24 / $1,185.89	Professional		$590.49	$833.24	$1,185.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $690.84 / $690.84 / $690.84	Facility		$690.84	$690.84	$690.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $603.38 / $849.22 / $1,203.99	Professional		$603.38	$849.22	$1,203.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $432.92 / $738.83	Professional		$72.37	$432.92	$738.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.58 / $761.37 / $1,247.75	Professional		$488.58	$761.37	$1,247.75