Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.80 / $5,135.00 / $10,817.74	Facility		$826.80	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.59 / $557.99 / $1,103.90	Professional		$476.59	$557.99	$1,103.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.21 / $599.83 / $1,003.10	Professional		$434.21	$599.83	$1,003.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.83 / $654.32 / $869.03	Facility		$509.83	$654.32	$869.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $599.79 / $763.38 / $127,498.73	Professional		$599.79	$763.38	$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 $563.35 / $763.38 / $1,046.52	Professional		$563.35	$763.38	$1,046.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $654.32 / $654.32 / $654.32	Facility		$654.32	$654.32	$654.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $569.27 / $763.38 / $1,107.61	Professional		$569.27	$763.38	$1,107.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $401.04 / $695.16	Professional		$72.32	$401.04	$695.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.35 / $690.37 / $1,124.88	Professional		$454.35	$690.37	$1,124.88