Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.37 / $2,800.00 / $11,581.00	Facility		$801.37	$2,800.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.60 / $571.34 / $1,083.95	Professional		$515.60	$571.34	$1,083.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.65 / $243.06 / $421.76	Professional		$179.65	$243.06	$421.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $534.04 / $685.42 / $848.35	Facility		$534.04	$685.42	$848.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $628.29 / $971.01 / $127,498.73	Professional		$628.29	$971.01	$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 $583.44 / $801.27 / $1,120.88	Professional		$583.44	$801.27	$1,120.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $683.24 / $683.24	Facility		$683.24	$683.24	$683.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $599.77 / $819.02 / $1,101.28	Professional		$599.77	$819.02	$1,101.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $224.67 / $260.13 / $331.08	Professional		$224.67	$260.13	$331.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,874.00 / $5,920.00 / $7,853.00	Facility		$2,874.00	$5,920.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.56 / $368.92 / $562.02	Professional		$229.56	$368.92	$562.02