Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.02 / $5,355.00 / $10,817.74	Facility		$739.02	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.33 / $512.41 / $1,295.00	Professional		$433.33	$512.41	$1,295.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,534.00 / $14,996.00	Facility		$1,760.00	$4,534.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.44 / $543.32 / $867.66	Professional		$409.44	$543.32	$867.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.27 / $585.59 / $777.74	Facility		$456.27	$585.59	$777.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.79 / $683.19 / $127,498.73	Professional		$536.79	$683.19	$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 $511.08 / $683.19 / $986.85	Professional		$511.08	$683.19	$986.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $585.13	Facility		$585.13	$585.13	$585.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $511.08 / $689.23 / $986.85	Professional		$511.08	$689.23	$986.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $360.52 / $618.20	Professional		$71.16	$360.52	$618.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,434.00 / $13,009.00	Facility		$4,070.00	$8,434.00	$13,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.66 / $613.29 / $1,018.07	Professional		$407.66	$613.29	$1,018.07