Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.95 / $2,547.00 / $10,635.00	Facility		$775.95	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.07 / $531.29 / $1,036.39	Professional		$454.07	$531.29	$1,036.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.93 / $561.50 / $885.71	Professional		$407.93	$561.50	$885.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.51 / $614.14 / $815.66	Facility		$478.51	$614.14	$815.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.96 / $716.49 / $127,498.73	Professional		$562.96	$716.49	$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 $533.27 / $716.49 / $1,006.80	Professional		$533.27	$716.49	$1,006.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $614.51 / $614.51	Facility		$614.51	$614.51	$614.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $533.42 / $716.49 / $1,021.76	Professional		$533.42	$716.49	$1,021.76
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 $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.24 / $649.38 / $1,072.30	Professional		$422.24	$649.38	$1,072.30