Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.71 / $5,201.00 / $11,627.00	Facility		$855.71	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.89 / $577.33 / $1,141.88	Professional		$492.89	$577.33	$1,141.88
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 $474.78 / $666.32 / $1,089.28	Professional		$474.78	$666.32	$1,089.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.49 / $676.99 / $899.13	Facility		$527.49	$676.99	$899.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $620.58 / $789.82 / $127,498.73	Professional		$620.58	$789.82	$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 $589.15 / $789.83 / $1,120.92	Professional		$589.15	$789.83	$1,120.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $677.02 / $677.02	Facility		$677.02	$677.02	$677.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $589.15 / $791.80 / $1,120.92	Professional		$589.15	$791.80	$1,120.92
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 / $5,920.00 / $9,245.00	Facility		$2,904.00	$5,920.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.19 / $699.23 / $1,164.16	Professional		$470.19	$699.23	$1,164.16