Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.22 / $5,135.00 / $10,817.74	Facility		$944.22	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $639.91 / $1,264.14	Professional		$544.91	$639.91	$1,264.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.00 / $704.23 / $1,118.31	Professional		$519.00	$704.23	$1,118.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $582.42 / $747.50 / $992.78	Facility		$582.42	$747.50	$992.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $685.21 / $872.09 / $127,498.73	Professional		$685.21	$872.09	$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 $645.16 / $872.09 / $1,219.93	Professional		$645.16	$872.09	$1,219.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $746.20 / $746.20 / $746.20	Facility		$746.20	$746.20	$746.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $880.28 / $1,219.93	Professional		$652.79	$880.28	$1,219.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $463.36 / $812.14	Professional		$72.37	$463.36	$812.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,435.52 / $7,778.00	Facility		$2,904.00	$5,435.52	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.15 / $783.35 / $1,289.91	Professional		$516.15	$783.35	$1,289.91