Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.02 / $5,135.00 / $10,817.74	Facility		$893.02	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.46 / $603.20 / $1,195.31	Professional		$514.46	$603.20	$1,195.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.59 / $808.50 / $1,337.91	Professional		$597.59	$808.50	$1,337.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.98 / $705.85 / $937.46	Facility		$549.98	$705.85	$937.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $647.03 / $823.49 / $127,498.73	Professional		$647.03	$823.49	$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 $610.54 / $852.91 / $1,219.51	Professional		$610.54	$852.91	$1,219.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $704.92 / $704.92 / $704.92	Facility		$704.92	$704.92	$704.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $856.17 / $1,256.85	Professional		$617.41	$856.17	$1,256.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $422.18 / $730.80	Professional		$72.32	$422.18	$730.80
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 $492.15 / $784.35 / $1,241.14	Professional		$492.15	$784.35	$1,241.14