Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.00 / $4,947.00 / $11,581.00	Facility		$917.00	$4,947.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.49 / $611.73 / $1,209.59	Professional		$526.49	$611.73	$1,209.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,175.00 / $8,800.00	Facility		$1,152.00	$3,175.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $648.45 / $1,021.67	Professional		$449.58	$648.45	$1,021.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.10 / $716.27 / $951.30	Facility		$558.10	$716.27	$951.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.58 / $835.65 / $127,498.73	Professional		$656.58	$835.65	$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 $607.20 / $818.46 / $1,144.03	Professional		$607.20	$818.46	$1,144.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $714.96 / $714.96	Facility		$714.96	$714.96	$714.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $626.73 / $832.44 / $1,144.03	Professional		$626.73	$832.44	$1,144.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $433.20 / $741.11	Professional		$72.32	$433.20	$741.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.90 / $4,956.00 / $7,778.00	Facility		$1,202.90	$4,956.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.67 / $752.45 / $1,249.06	Professional		$486.67	$752.45	$1,249.06