Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.50 / $5,135.00 / $11,627.00	Facility		$936.50	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $647.41 / $1,252.82	Professional		$546.04	$647.41	$1,252.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.37 / $732.92 / $1,180.81	Professional		$520.37	$732.92	$1,180.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $577.72 / $741.46 / $984.75	Facility		$577.72	$741.46	$984.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $679.67 / $865.03 / $127,498.73	Professional		$679.67	$865.03	$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 $647.62 / $865.04 / $1,233.31	Professional		$647.62	$865.04	$1,233.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $740.62 / $740.62 / $740.62	Facility		$740.62	$740.62	$740.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $647.62 / $869.80 / $1,233.31	Professional		$647.62	$869.80	$1,233.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $461.01 / $783.02	Professional		$72.37	$461.01	$783.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,821.00	Facility		$2,840.00	$5,920.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.79 / $794.44 / $1,290.06	Professional		$521.79	$794.44	$1,290.06