Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $2,547.00 / $10,635.00	Facility		$951.00	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.69 / $676.58 / $1,336.90	Professional		$577.69	$676.58	$1,336.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.46 / $727.50 / $1,148.95	Professional		$534.46	$727.50	$1,148.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.38 / $793.64 / $1,054.07	Facility		$618.38	$793.64	$1,054.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $727.51 / $925.92 / $127,498.73	Professional		$727.51	$925.92	$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 $681.49 / $925.92 / $1,281.11	Professional		$681.49	$925.92	$1,281.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $792.33 / $792.33 / $792.33	Facility		$792.33	$792.33	$792.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $691.18 / $931.58 / $1,287.20	Professional		$691.18	$931.58	$1,287.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $463.36 / $812.14	Professional		$72.37	$463.36	$812.14
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.33 / $824.68 / $1,365.77	Professional		$548.33	$824.68	$1,365.77