Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.25 / $5,135.00 / $11,627.00	Facility		$671.25	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.45 / $510.92 / $988.53	Professional		$447.45	$510.92	$988.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.04 / $509.02 / $842.18	Professional		$291.04	$509.02	$842.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $463.20 / $594.48 / $789.54	Facility		$463.20	$594.48	$789.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $544.94 / $693.56 / $127,498.73	Professional		$544.94	$693.56	$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 $508.96 / $696.77 / $1,009.19	Professional		$508.96	$696.77	$1,009.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $594.91 / $594.91 / $594.91	Facility		$594.91	$594.91	$594.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $510.19 / $718.33 / $1,002.73	Professional		$510.19	$718.33	$1,002.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $368.70 / $627.53	Professional		$72.37	$368.70	$627.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.30 / $633.15 / $1,045.48	Professional		$417.30	$633.15	$1,045.48