Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.28 / $3,696.00 / $11,627.00	Facility		$974.28	$3,696.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.86 / $974.28 / $1,953.65	Professional		$853.86	$974.28	$1,953.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,869.00 / $14,996.00	Facility		$1,712.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.53 / $1,038.40 / $1,595.93	Professional		$735.53	$1,038.40	$1,595.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $892.25 / $1,145.14 / $1,520.88	Facility		$892.25	$1,145.14	$1,520.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,049.71 / $1,335.99 / $127,498.73	Professional		$1,049.71	$1,335.99	$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 $975.90 / $1,336.00 / $1,871.30	Professional		$975.90	$1,336.00	$1,871.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,137.59 / $1,137.59 / $1,137.59	Facility		$1,137.59	$1,137.59	$1,137.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,002.00 / $1,364.72 / $1,831.65	Professional		$1,002.00	$1,364.72	$1,831.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $700.93 / $1,205.95	Professional		$72.37	$700.93	$1,205.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $786.57 / $1,216.61 / $2,048.46	Professional		$786.57	$1,216.61	$2,048.46