Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.13 / $3,325.00 / $10,635.00	Facility		$918.13	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.67 / $620.76 / $1,229.19	Professional		$529.67	$620.76	$1,229.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.61 / $679.97 / $1,075.25	Professional		$495.61	$679.97	$1,075.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $566.23 / $726.71 / $965.16	Facility		$566.23	$726.71	$965.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $666.15 / $847.83 / $127,498.73	Professional		$666.15	$847.83	$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 $626.74 / $847.82 / $1,223.20	Professional		$626.74	$847.82	$1,223.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $725.37 / $725.37 / $725.37	Facility		$725.37	$725.37	$725.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $635.83 / $847.82 / $1,223.20	Professional		$635.83	$847.82	$1,223.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $432.92 / $741.11	Professional		$72.32	$432.92	$741.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,821.00	Facility		$2,840.00	$5,920.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.59 / $763.00 / $1,278.15	Professional		$506.59	$763.00	$1,278.15