Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.00 / $3,325.00 / $10,635.00	Facility		$758.00	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.89 / $510.51 / $1,010.30	Professional		$442.89	$510.51	$1,010.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.26 / $737.87 / $1,221.83	Professional		$538.26	$737.87	$1,221.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.28 / $599.71 / $796.50	Facility		$467.28	$599.71	$796.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.74 / $699.66 / $127,498.73	Professional		$549.74	$699.66	$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 $520.30 / $736.01 / $1,069.49	Professional		$520.30	$736.01	$1,069.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $600.38 / $600.38	Facility		$600.38	$600.38	$600.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $520.30 / $736.01 / $1,143.51	Professional		$520.30	$736.01	$1,143.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $389.84 / $639.05	Professional		$71.16	$389.84	$639.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,821.00	Facility		$2,840.00	$5,920.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.92 / $676.71 / $1,045.93	Professional		$415.92	$676.71	$1,045.93