Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.79 / $5,135.00 / $10,817.74	Facility		$869.79	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.16 / $588.22 / $1,162.59	Professional		$501.16	$588.22	$1,162.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.40 / $643.54 / $1,066.51	Professional		$474.40	$643.54	$1,066.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $535.50 / $687.28 / $850.65	Facility		$535.50	$687.28	$850.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $801.82 / $127,498.73	Professional		$630.00	$801.82	$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 $600.41 / $801.82 / $1,121.20	Professional		$600.41	$801.82	$1,121.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $686.69 / $686.69 / $686.69	Facility		$686.69	$686.69	$686.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $600.41 / $803.99 / $1,121.20	Professional		$600.41	$803.99	$1,121.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $402.31 / $726.79	Professional		$72.37	$402.31	$726.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,435.52 / $7,778.00	Facility		$2,904.00	$5,435.52	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.46 / $732.51 / $1,213.65	Professional		$470.46	$732.51	$1,213.65