Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.72 / $5,081.38 / $10,817.74	Facility		$885.72	$5,081.38	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.80 / $598.66 / $1,467.17	Professional		$516.80	$598.66	$1,467.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,932.00 / $30,285.00	Facility		$2,777.00	$6,932.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.73 / $436.37 / $819.39	Professional		$296.73	$436.37	$819.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $546.41 / $701.28 / $931.40	Facility		$546.41	$701.28	$931.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $642.84 / $818.16 / $127,498.73	Professional		$642.84	$818.16	$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 $604.91 / $788.94 / $1,111.64	Professional		$604.91	$788.94	$1,111.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $700.82 / $700.82 / $700.82	Facility		$700.82	$700.82	$700.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $607.00 / $793.33 / $1,111.64	Professional		$607.00	$793.33	$1,111.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $402.31 / $726.79	Professional		$72.37	$402.31	$726.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $9,067.00 / $14,156.00	Facility		$4,227.00	$9,067.00	$14,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.39 / $729.00 / $1,228.41	Professional		$465.39	$729.00	$1,228.41