Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.79 / $3,325.00 / $10,635.00	Facility		$893.79	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.82 / $603.49 / $1,086.00	Professional		$514.82	$603.49	$1,086.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.79 / $629.91 / $1,006.32	Professional		$452.79	$629.91	$1,006.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $551.62 / $707.96 / $940.26	Facility		$551.62	$707.96	$940.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $648.97 / $825.96 / $127,498.73	Professional		$648.97	$825.96	$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 $589.97 / $825.96 / $1,150.38	Professional		$589.97	$825.96	$1,150.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $707.88 / $707.88 / $707.88	Facility		$707.88	$707.88	$707.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $616.02 / $827.15 / $1,150.38	Professional		$616.02	$827.15	$1,150.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $422.64 / $730.80	Professional		$72.37	$422.64	$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 $491.59 / $750.23 / $1,217.26	Professional		$491.59	$750.23	$1,217.26