Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.13 / $5,135.00 / $10,817.74	Facility		$816.13	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.61 / $565.37 / $990.87	Professional		$483.61	$565.37	$990.87
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 $466.43 / $626.66 / $1,009.87	Professional		$466.43	$626.66	$1,009.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.31 / $645.95 / $857.90	Facility		$503.31	$645.95	$857.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $592.12 / $753.61 / $127,498.73	Professional		$592.12	$753.61	$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 $560.85 / $753.61 / $1,104.01	Professional		$560.85	$753.61	$1,104.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $646.51 / $646.51 / $646.51	Facility		$646.51	$646.51	$646.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $560.85 / $763.21 / $1,104.43	Professional		$560.85	$763.21	$1,104.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $401.04 / $674.23	Professional		$71.16	$401.04	$674.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $447.96 / $695.75 / $1,117.21	Professional		$447.96	$695.75	$1,117.21