Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.30 / $3,325.00 / $10,635.00	Facility		$854.30	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.90 / $578.24 / $1,348.89	Professional		$497.90	$578.24	$1,348.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.69 / $639.69 / $1,053.41	Professional		$458.69	$639.69	$1,053.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $526.04 / $675.13 / $896.66	Facility		$526.04	$675.13	$896.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $618.87 / $787.65 / $127,498.73	Professional		$618.87	$787.65	$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 $584.94 / $794.51 / $1,154.99	Professional		$584.94	$794.51	$1,154.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $674.41 / $674.41 / $674.41	Facility		$674.41	$674.41	$674.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $590.03 / $807.97 / $1,158.99	Professional		$590.03	$807.97	$1,158.99
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 $2,840.00 / $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 $470.47 / $719.84 / $1,227.84	Professional		$470.47	$719.84	$1,227.84