Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.66 / $3,325.00 / $10,268.00	Facility		$633.66	$3,325.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.76 / $576.05 / $1,090.79	Professional		$502.76	$576.05	$1,090.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.51 / $595.54 / $946.77	Professional		$428.51	$595.54	$946.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.97 / $677.60 / $899.94	Facility		$527.97	$677.60	$899.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $621.14 / $790.54 / $127,498.73	Professional		$621.14	$790.54	$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 $556.89 / $776.00 / $1,082.99	Professional		$556.89	$776.00	$1,082.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $679.25 / $679.25 / $679.25	Facility		$679.25	$679.25	$679.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $556.89 / $790.53 / $1,082.99	Professional		$556.89	$790.53	$1,082.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $429.90 / $715.19	Professional		$72.37	$429.90	$715.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.34 / $668.27 / $1,119.46	Professional		$444.34	$668.27	$1,119.46