Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.61 / $6,251.00 / $11,581.00	Facility		$905.61	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.45 / $611.51 / $1,210.09	Professional		$521.45	$611.51	$1,210.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.81 / $701.21 / $1,162.47	Professional		$497.81	$701.21	$1,162.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.22 / $716.42 / $951.50	Facility		$558.22	$716.42	$951.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.72 / $835.83 / $127,498.73	Professional		$656.72	$835.83	$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 $624.99 / $835.83 / $1,195.93	Professional		$624.99	$835.83	$1,195.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $716.07 / $716.07 / $716.07	Facility		$716.07	$716.07	$716.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $624.99 / $835.83 / $1,216.01	Professional		$624.99	$835.83	$1,216.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $450.55 / $773.19	Professional		$72.37	$450.55	$773.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.49 / $749.99 / $1,256.34	Professional		$487.49	$749.99	$1,256.34