Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.00 / $5,201.00 / $11,581.00	Facility		$917.00	$5,201.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.72 / $544.58 / $1,077.83	Professional		$464.72	$544.58	$1,077.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.34 / $572.25 / $951.61	Professional		$405.34	$572.25	$951.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $497.11 / $638.00 / $847.35	Facility		$497.11	$638.00	$847.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $584.84 / $744.34 / $127,498.73	Professional		$584.84	$744.34	$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 $546.99 / $744.34 / $1,020.14	Professional		$546.99	$744.34	$1,020.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $637.95 / $637.95 / $637.95	Facility		$637.95	$637.95	$637.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $555.74 / $744.34 / $1,047.38	Professional		$555.74	$744.34	$1,047.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $400.15 / $674.23	Professional		$71.16	$400.15	$674.23
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 $435.92 / $666.89 / $1,088.66	Professional		$435.92	$666.89	$1,088.66