Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.60 / $5,355.00 / $10,635.00	Facility		$775.60	$5,355.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.44 / $531.02 / $1,043.91	Professional		$470.44	$531.02	$1,043.91
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 $439.46 / $594.57 / $979.13	Professional		$439.46	$594.57	$979.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.12 / $618.77 / $821.81	Facility		$482.12	$618.77	$821.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $567.20 / $721.90 / $127,498.73	Professional		$567.20	$721.90	$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 $540.60 / $736.25 / $1,059.18	Professional		$540.60	$736.25	$1,059.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $614.15	Facility		$614.15	$614.15	$614.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $541.42 / $747.68 / $1,060.48	Professional		$541.42	$747.68	$1,060.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $368.22 / $655.10	Professional		$71.16	$368.22	$655.10
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 $443.62 / $668.00 / $1,099.98	Professional		$443.62	$668.00	$1,099.98