Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.53 / $4,723.00 / $10,817.74	Facility		$840.53	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.23 / $565.94 / $1,120.19	Professional		$485.23	$565.94	$1,120.19
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 $452.69 / $640.52 / $1,026.59	Professional		$452.69	$640.52	$1,026.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $518.50 / $665.45 / $823.64	Facility		$518.50	$665.45	$823.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $609.99 / $776.36 / $127,498.73	Professional		$609.99	$776.36	$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 $571.17 / $772.51 / $1,068.17	Professional		$571.17	$772.51	$1,068.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $665.48 / $665.48 / $665.48	Facility		$665.48	$665.48	$665.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $579.64 / $776.35 / $1,062.67	Professional		$579.64	$776.35	$1,062.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $401.04 / $695.16	Professional		$72.32	$401.04	$695.16
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 $450.67 / $691.51 / $1,145.36	Professional		$450.67	$691.51	$1,145.36