Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.54 / $2,292.00 / $9,534.00	Facility		$546.54	$2,292.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.21 / $540.28 / $976.36	Professional		$460.21	$540.28	$976.36
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 $374.62 / $524.48 / $838.05	Professional		$374.62	$524.48	$838.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.83 / $588.88 / $782.10	Facility		$458.83	$588.88	$782.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $590.04 / $750.97 / $127,498.73	Professional		$590.04	$750.97	$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 $512.90 / $702.90 / $1,013.23	Professional		$512.90	$702.90	$1,013.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $876.58 / $876.58 / $876.58	Facility		$876.58	$876.58	$876.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $515.27 / $715.13 / $1,009.62	Professional		$515.27	$715.13	$1,009.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $400.09 / $670.83	Professional		$71.16	$400.09	$670.83
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.10 / $664.75 / $1,084.65	Professional		$430.10	$664.75	$1,084.65