Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.19 / $4,886.00 / $11,627.00	Facility		$742.19	$4,886.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.88 / $658.98 / $1,067.59	Professional		$430.88	$658.98	$1,067.59
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 $250.35 / $368.16 / $692.02	Professional		$250.35	$368.16	$692.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $462.18 / $593.16 / $787.79	Facility		$462.18	$593.16	$787.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $792.03 / $1,008.04 / $127,498.73	Professional		$792.03	$1,008.04	$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 $523.07 / $774.33 / $1,216.86	Professional		$523.07	$774.33	$1,216.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $883.51 / $883.51 / $883.51	Facility		$883.51	$883.51	$883.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $523.07 / $796.13 / $1,288.24	Professional		$523.07	$796.13	$1,288.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $519.71 / $917.17	Professional		$102.01	$519.71	$917.17
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 $516.79 / $807.50 / $1,258.76	Professional		$516.79	$807.50	$1,258.76