Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.76 / $5,135.00 / $10,817.74	Facility		$926.76	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.27 / $625.01 / $1,239.58	Professional		$534.27	$625.01	$1,239.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.55 / $666.00 / $1,051.58	Professional		$504.55	$666.00	$1,051.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.63 / $734.93 / $976.08	Facility		$572.63	$734.93	$976.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $673.68 / $857.42 / $127,498.73	Professional		$673.68	$857.42	$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 $624.77 / $857.41 / $1,190.16	Professional		$624.77	$857.41	$1,190.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $732.81 / $732.81 / $732.81	Facility		$732.81	$732.81	$732.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $641.65 / $863.49 / $1,171.69	Professional		$641.65	$863.49	$1,171.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $433.20 / $768.27	Professional		$72.32	$433.20	$768.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,998.00 / $9,245.00	Facility		$2,904.00	$5,998.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.76 / $769.98 / $1,267.90	Professional		$510.76	$769.98	$1,267.90