Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.90 / $2,306.00 / $9,516.00	Facility		$571.90	$2,306.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $591.49 / $1,043.16	Professional		$316.82	$591.49	$1,043.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.46 / $352.52 / $611.70	Professional		$255.46	$352.52	$611.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $381.91 / $490.15 / $606.66	Facility		$381.91	$490.15	$606.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $1,141.98 / $127,498.73	Professional		$897.27	$1,141.98	$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 $409.95 / $678.69 / $1,199.08	Professional		$409.95	$678.69	$1,199.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $724.87 / $724.87 / $724.87	Facility		$724.87	$724.87	$724.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $431.46 / $702.23 / $1,264.33	Professional		$431.46	$702.23	$1,264.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $775.10 / $1,169.58	Professional		$100.01	$775.10	$1,169.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.18 / $781.23 / $1,190.46	Professional		$483.18	$781.23	$1,190.46