Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.42 / $5,201.00 / $11,627.00	Facility		$909.42	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $615.01 / $1,215.89	Professional		$524.50	$615.01	$1,215.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,674.00 / $6,565.00 / $30,285.00	Facility		$2,674.00	$6,565.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.15 / $680.05 / $1,103.25	Professional		$503.15	$680.05	$1,103.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $560.90 / $719.87 / $956.07	Facility		$560.90	$719.87	$956.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $659.88 / $839.85 / $127,498.73	Professional		$659.88	$839.85	$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 $628.41 / $839.84 / $1,201.10	Professional		$628.41	$839.84	$1,201.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $719.05 / $719.05 / $719.05	Facility		$719.05	$719.05	$719.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $628.41 / $845.89 / $1,201.10	Professional		$628.41	$845.89	$1,201.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $355.75 / $749.83	Professional		$67.08	$355.75	$749.83
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 $498.33 / $780.90 / $1,251.81	Professional		$498.33	$780.90	$1,251.81