Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.87 / $5,135.00 / $10,817.74	Facility		$789.87	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.40 / $532.98 / $1,057.49	Professional		$459.40	$532.98	$1,057.49
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 $416.09 / $578.29 / $936.90	Professional		$416.09	$578.29	$936.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.35 / $624.20 / $829.02	Facility		$486.35	$624.20	$829.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $572.19 / $728.24 / $127,498.73	Professional		$572.19	$728.24	$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 $545.91 / $731.44 / $1,048.33	Professional		$545.91	$731.44	$1,048.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $623.07 / $623.07	Facility		$623.07	$623.07	$623.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $546.17 / $741.30 / $1,072.86	Professional		$546.17	$741.30	$1,072.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $390.84 / $636.82	Professional		$72.32	$390.84	$636.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.77 / $677.83 / $1,074.20	Professional		$433.77	$677.83	$1,074.20