Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.47 / $5,135.00 / $10,817.74	Facility		$863.47	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.11 / $584.65 / $1,539.50	Professional		$503.11	$584.65	$1,539.50
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 $498.32 / $715.24 / $1,169.90	Professional		$498.32	$715.24	$1,169.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $531.92 / $682.68 / $844.96	Facility		$531.92	$682.68	$844.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $625.79 / $796.46 / $127,498.73	Professional		$625.79	$796.46	$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 $596.79 / $804.92 / $1,173.41	Professional		$596.79	$804.92	$1,173.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $681.85 / $681.85	Facility		$681.85	$681.85	$681.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $824.91 / $1,187.18	Professional		$596.79	$824.91	$1,187.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $401.52 / $726.79	Professional		$72.37	$401.52	$726.79
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 $476.16 / $722.88 / $1,206.24	Professional		$476.16	$722.88	$1,206.24