Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.66 / $1,902.00 / $9,504.00	Facility		$611.66	$1,902.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.95 / $602.26 / $1,039.82	Professional		$514.95	$602.26	$1,039.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.12 / $605.41 / $965.26	Professional		$437.12	$605.41	$965.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.78 / $661.97 / $879.18	Facility		$515.78	$661.97	$879.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $658.67 / $838.31 / $127,498.73	Professional		$658.67	$838.31	$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 $568.05 / $799.88 / $1,124.27	Professional		$568.05	$799.88	$1,124.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $985.85 / $985.85 / $985.85	Facility		$985.85	$985.85	$985.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $579.22 / $808.36 / $1,123.23	Professional		$579.22	$808.36	$1,123.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $440.03 / $751.02	Professional		$71.16	$440.03	$751.02
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,009.00 / $3,398.00	Facility		$480.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.98 / $745.64 / $1,223.67	Professional		$492.98	$745.64	$1,223.67