Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.08 / $5,135.00 / $10,817.74	Facility		$843.08	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.93 / $569.55 / $1,129.67	Professional		$489.93	$569.55	$1,129.67
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 $432.42 / $594.29 / $986.74	Professional		$432.42	$594.29	$986.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.46 / $666.70 / $885.45	Facility		$519.46	$666.70	$885.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $611.14 / $777.81 / $127,498.73	Professional		$611.14	$777.81	$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 $583.36 / $773.94 / $1,074.02	Professional		$583.36	$773.94	$1,074.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $665.11 / $665.11	Facility		$665.11	$665.11	$665.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $583.36 / $777.82 / $1,065.91	Professional		$583.36	$777.82	$1,065.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $401.52 / $726.79	Professional		$72.37	$401.52	$726.79
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 $454.19 / $699.07 / $1,166.32	Professional		$454.19	$699.07	$1,166.32