Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.57 / $5,135.00 / $10,817.74	Facility		$904.57	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.15 / $611.28 / $1,209.21	Professional		$521.15	$611.28	$1,209.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.14 / $643.41 / $1,033.83	Professional		$481.14	$643.41	$1,033.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $557.62 / $715.67 / $950.49	Facility		$557.62	$715.67	$950.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.03 / $834.95 / $127,498.73	Professional		$656.03	$834.95	$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 $617.51 / $834.95 / $1,152.77	Professional		$617.51	$834.95	$1,152.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $714.96 / $714.96	Facility		$714.96	$714.96	$714.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $624.51 / $835.31 / $1,143.65	Professional		$624.51	$835.31	$1,143.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $422.18 / $730.80	Professional		$72.32	$422.18	$730.80
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 $485.61 / $749.41 / $1,244.02	Professional		$485.61	$749.41	$1,244.02