Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.79 / $6,251.00 / $11,581.00	Facility		$796.79	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.36 / $535.84 / $965.37	Professional		$467.36	$535.84	$965.37
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 $410.24 / $558.45 / $923.27	Professional		$410.24	$558.45	$923.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $491.49 / $630.79 / $837.77	Facility		$491.49	$630.79	$837.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $578.23 / $735.92 / $127,498.73	Professional		$578.23	$735.92	$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 $541.21 / $718.60 / $1,007.37	Professional		$541.21	$718.60	$1,007.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $632.01 / $632.01 / $632.01	Facility		$632.01	$632.01	$632.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $546.01 / $735.92 / $1,007.37	Professional		$546.01	$735.92	$1,007.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $389.85 / $659.16	Professional		$71.16	$389.85	$659.16
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 $431.68 / $665.03 / $1,037.42	Professional		$431.68	$665.03	$1,037.42