Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.93 / $5,135.00 / $10,817.74	Facility		$831.93	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.29 / $559.47 / $1,108.38	Professional		$488.29	$559.47	$1,108.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.09 / $572.33 / $924.31	Professional		$419.09	$572.33	$924.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.91 / $658.30 / $874.31	Facility		$512.91	$658.30	$874.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $603.44 / $768.01 / $127,498.73	Professional		$603.44	$768.01	$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 $558.85 / $767.63 / $1,051.79	Professional		$558.85	$767.63	$1,051.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $659.16 / $659.16 / $659.16	Facility		$659.16	$659.16	$659.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $570.72 / $768.01 / $1,051.79	Professional		$570.72	$768.01	$1,051.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $400.01 / $672.20	Professional		$72.37	$400.01	$672.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,920.00 / $9,245.00	Facility		$2,904.00	$5,920.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.02 / $695.48 / $1,136.86	Professional		$456.02	$695.48	$1,136.86