Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.56 / $2,547.00 / $10,635.00	Facility		$791.56	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $534.05 / $1,056.16	Professional		$456.13	$534.05	$1,056.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,640.00 / $7,388.78 / $13,572.42	Facility		$1,640.00	$7,388.78	$13,572.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $576.74 / $921.27	Professional		$422.06	$576.74	$921.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.02 / $626.33 / $831.84	Facility		$488.02	$626.33	$831.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $574.13 / $730.72 / $127,498.73	Professional		$574.13	$730.72	$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 $531.29 / $730.72 / $1,000.76	Professional		$531.29	$730.72	$1,000.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $625.67 / $625.67 / $625.67	Facility		$625.67	$625.67	$625.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $544.51 / $730.72 / $1,000.76	Professional		$544.51	$730.72	$1,000.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $400.15 / $649.11	Professional		$71.16	$400.15	$649.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.72 / $653.41 / $1,084.66	Professional		$424.72	$653.41	$1,084.66