Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $5,706.00 / $11,627.00	Facility		$900.00	$5,706.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.85 / $588.41 / $1,293.77	Professional		$508.85	$588.41	$1,293.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.66 / $808.77 / $1,334.76	Professional		$605.66	$808.77	$1,334.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.92 / $689.11 / $915.23	Facility		$536.92	$689.11	$915.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $631.69 / $803.96 / $127,498.73	Professional		$631.69	$803.96	$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 $600.44 / $846.73 / $1,231.23	Professional		$600.44	$846.73	$1,231.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $600.44 / $846.73 / $1,303.06	Professional		$600.44	$846.73	$1,303.06
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 $2,398.36 / $4,956.00 / $7,778.00	Facility		$2,398.36	$4,956.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.08 / $775.25 / $1,186.47	Professional		$479.08	$775.25	$1,186.47