Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.26 / $5,201.00 / $11,627.00	Facility		$809.26	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $544.22 / $1,072.69	Professional		$467.25	$544.22	$1,072.69
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 $371.20 / $537.00 / $883.97	Professional		$371.20	$537.00	$883.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.01 / $641.72 / $852.29	Facility		$500.01	$641.72	$852.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.25 / $748.68 / $127,498.73	Professional		$588.25	$748.68	$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 $534.77 / $727.77 / $1,023.14	Professional		$534.77	$727.77	$1,023.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $644.64 / $644.64	Facility		$644.64	$644.64	$644.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $550.58 / $748.68 / $1,023.14	Professional		$550.58	$748.68	$1,023.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $389.84 / $660.52	Professional		$71.16	$389.84	$660.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $4,951.00	Facility		$1,689.00	$2,665.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $657.04 / $1,096.76	Professional		$429.83	$657.04	$1,096.76