Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.55 / $5,135.00 / $10,817.74	Facility		$893.55	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.73 / $600.91 / $1,453.25	Professional		$528.73	$600.91	$1,453.25
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 $500.53 / $683.49 / $1,152.35	Professional		$500.53	$683.49	$1,152.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $550.58 / $706.63 / $874.60	Facility		$550.58	$706.63	$874.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $647.75 / $824.40 / $127,498.73	Professional		$647.75	$824.40	$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 $618.01 / $838.99 / $1,218.70	Professional		$618.01	$838.99	$1,218.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $701.19 / $701.19 / $701.19	Facility		$701.19	$701.19	$701.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $618.29 / $853.84 / $1,218.70	Professional		$618.29	$853.84	$1,218.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $433.20 / $743.01	Professional		$72.32	$433.20	$743.01
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 $494.36 / $773.52 / $1,252.96	Professional		$494.36	$773.52	$1,252.96