Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.97 / $6,582.00 / $11,581.00	Facility		$992.97	$6,582.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.16 / $689.71 / $1,266.75	Professional		$582.16	$689.71	$1,266.75
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 $527.28 / $725.78 / $1,143.95	Professional		$527.28	$725.78	$1,143.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.47 / $786.06 / $1,043.99	Facility		$612.47	$786.06	$1,043.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $720.56 / $917.07 / $127,498.73	Professional		$720.56	$917.07	$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 $655.04 / $917.06 / $1,270.85	Professional		$655.04	$917.06	$1,270.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $783.40 / $783.40 / $783.40	Facility		$783.40	$783.40	$783.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $654.15 / $923.58 / $1,270.85	Professional		$654.15	$923.58	$1,270.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $495.24 / $853.94	Professional		$72.37	$495.24	$853.94
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 $527.78 / $838.52 / $1,303.07	Professional		$527.78	$838.52	$1,303.07