Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.82 / $4,723.00 / $11,627.00	Facility		$869.82	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.85 / $884.48 / $2,278.92	Professional		$753.85	$884.48	$2,278.92
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 $690.61 / $941.38 / $1,498.36	Professional		$690.61	$941.38	$1,498.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $796.55 / $1,022.32 / $1,357.77	Facility		$796.55	$1,022.32	$1,357.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $937.12 / $1,192.70 / $127,498.73	Professional		$937.12	$1,192.70	$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 $894.52 / $1,195.92 / $1,684.02	Professional		$894.52	$1,195.92	$1,684.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,017.38 / $1,017.38 / $1,017.38	Facility		$1,017.38	$1,017.38	$1,017.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $894.52 / $1,251.42 / $1,684.02	Professional		$894.52	$1,251.42	$1,684.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $637.94 / $1,067.00	Professional		$72.37	$637.94	$1,067.00
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 $713.13 / $1,105.02 / $1,821.23	Professional		$713.13	$1,105.02	$1,821.23