Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.38 / $5,135.00 / $10,817.74	Facility		$865.38	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.67 / $584.09 / $1,155.08	Professional		$506.67	$584.09	$1,155.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.32 / $803.93 / $1,391.24	Professional		$594.32	$803.93	$1,391.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $533.40 / $684.58 / $909.21	Facility		$533.40	$684.58	$909.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.53 / $798.67 / $127,498.73	Professional		$627.53	$798.67	$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 $593.46 / $843.23 / $1,220.83	Professional		$593.46	$843.23	$1,220.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $684.46 / $684.46 / $684.46	Facility		$684.46	$684.46	$684.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $595.84 / $843.23 / $1,259.90	Professional		$595.84	$843.23	$1,259.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $402.31 / $726.79	Professional		$72.37	$402.31	$726.79
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 $467.04 / $756.87 / $1,152.34	Professional		$467.04	$756.87	$1,152.34