Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.89 / $5,135.00 / $11,581.00	Facility		$835.89	$5,135.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.68 / $565.58 / $1,066.35	Professional		$479.68	$565.58	$1,066.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,003.00 / $30,285.00	Facility		$2,670.00	$6,003.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.96 / $616.76 / $992.25	Professional		$450.96	$616.76	$992.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.41 / $661.50 / $878.55	Facility		$515.41	$661.50	$878.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $606.38 / $771.75 / $127,498.73	Professional		$606.38	$771.75	$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 $572.51 / $771.75 / $1,061.80	Professional		$572.51	$771.75	$1,061.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $661.02 / $661.02 / $661.02	Facility		$661.02	$661.02	$661.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $576.57 / $771.75 / $1,108.93	Professional		$576.57	$771.75	$1,108.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $401.04 / $695.16	Professional		$72.32	$401.04	$695.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.91 / $709.83 / $1,194.56	Professional		$459.91	$709.83	$1,194.56