Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.40 / $3,325.00 / $10,635.00	Facility		$954.40	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.44 / $641.83 / $1,278.75	Professional		$551.44	$641.83	$1,278.75
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 $489.70 / $727.59 / $1,159.81	Professional		$489.70	$727.59	$1,159.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.07 / $754.74 / $1,002.39	Facility		$588.07	$754.74	$1,002.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.85 / $880.53 / $127,498.73	Professional		$691.85	$880.53	$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 $651.92 / $876.79 / $1,208.61	Professional		$651.92	$876.79	$1,208.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $752.89 / $752.89 / $752.89	Facility		$752.89	$752.89	$752.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $660.40 / $880.53 / $1,208.61	Professional		$660.40	$880.53	$1,208.61
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 $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 $524.92 / $789.30 / $1,317.25	Professional		$524.92	$789.30	$1,317.25