Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.82 / $5,135.00 / $10,817.74	Facility		$869.82	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.20 / $588.22 / $1,163.27	Professional		$501.20	$588.22	$1,163.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.54 / $618.54 / $1,003.65	Professional		$462.54	$618.54	$1,003.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.12 / $688.07 / $913.85	Facility		$536.12	$688.07	$913.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.73 / $802.75 / $127,498.73	Professional		$630.73	$802.75	$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 $595.41 / $802.74 / $1,101.03	Professional		$595.41	$802.74	$1,101.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $687.42 / $687.42 / $687.42	Facility		$687.42	$687.42	$687.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $600.45 / $803.60 / $1,099.72	Professional		$600.45	$803.60	$1,099.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $401.52 / $726.79	Professional		$72.37	$401.52	$726.79
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 $472.68 / $715.87 / $1,218.31	Professional		$472.68	$715.87	$1,218.31