Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.74 / $5,135.00 / $11,065.30	Facility		$892.74	$5,135.00	$11,065.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.74 / $610.84 / $1,584.95	Professional		$537.74	$610.84	$1,584.95
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 $321.79 / $492.15 / $864.60	Professional		$321.79	$492.15	$864.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $557.57 / $715.60 / $950.40	Facility		$557.57	$715.60	$950.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $655.96 / $834.86 / $127,498.73	Professional		$655.96	$834.86	$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 $625.97 / $860.95 / $1,248.54	Professional		$625.97	$860.95	$1,248.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $711.98 / $711.98 / $711.98	Facility		$711.98	$711.98	$711.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $626.15 / $876.61 / $1,214.63	Professional		$626.15	$876.61	$1,214.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $464.75 / $762.26	Professional		$72.37	$464.75	$762.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.48 / $767.04 / $1,279.63	Professional		$508.48	$767.04	$1,279.63