Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.55 / $6,582.00 / $11,581.00	Facility		$1,047.55	$6,582.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $704.47 / $1,433.29	Professional		$634.79	$704.47	$1,433.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.54 / $780.40 / $1,231.96	Professional		$567.54	$780.40	$1,231.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $644.44 / $827.08 / $1,098.47	Facility		$644.44	$827.08	$1,098.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.15 / $964.92 / $127,498.73	Professional		$758.15	$964.92	$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 $714.57 / $964.92 / $1,360.46	Professional		$714.57	$964.92	$1,360.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $826.55 / $826.55 / $826.55	Facility		$826.55	$826.55	$826.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $723.69 / $964.92 / $1,360.46	Professional		$723.69	$964.92	$1,360.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $526.65 / $895.51	Professional		$72.37	$526.65	$895.51
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 $585.08 / $899.37 / $1,482.20	Professional		$585.08	$899.37	$1,482.20