Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.67 / $5,135.00 / $10,817.74	Facility		$769.67	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.13 / $518.91 / $1,027.65	Professional		$449.13	$518.91	$1,027.65
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 $430.66 / $586.59 / $988.99	Professional		$430.66	$586.59	$988.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.01 / $608.36 / $807.99	Facility		$474.01	$608.36	$807.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.66 / $709.76 / $127,498.73	Professional		$557.66	$709.76	$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 $526.94 / $709.76 / $1,022.53	Professional		$526.94	$709.76	$1,022.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $608.20 / $608.20 / $608.20	Facility		$608.20	$608.20	$608.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $530.39 / $713.84 / $1,042.25	Professional		$530.39	$713.84	$1,042.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $307.25 / $632.41	Professional		$66.98	$307.25	$632.41
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 $423.97 / $655.04 / $1,066.19	Professional		$423.97	$655.04	$1,066.19