Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.97 / $2,547.00 / $10,635.00	Facility		$760.97	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.01 / $522.86 / $945.08	Professional		$486.01	$522.86	$945.08
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 / $245.17 / $421.76	Professional		$179.65	$245.17	$421.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.52 / $651.36 / $865.10	Facility		$507.52	$651.36	$865.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $597.08 / $922.76 / $127,498.73	Professional		$597.08	$922.76	$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 $554.01 / $776.26 / $1,063.74	Professional		$554.01	$776.26	$1,063.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $648.78 / $648.78 / $648.78	Facility		$648.78	$648.78	$648.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $569.97 / $780.00 / $1,045.75	Professional		$569.97	$780.00	$1,045.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.15 / $276.26 / $351.61	Professional		$237.15	$276.26	$351.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,920.00 / $9,245.00	Facility		$2,155.00	$5,920.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $371.08 / $556.54	Professional		$252.80	$371.08	$556.54