Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.29 / $6,251.00 / $11,581.00	Facility		$773.29	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.84 / $534.70 / $1,321.41	Professional		$480.84	$534.70	$1,321.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,443.00 / $16,268.05 / $29,882.70	Facility		$2,443.00	$16,268.05	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.03 / $661.75 / $1,073.82	Professional		$509.03	$661.75	$1,073.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $474.07 / $608.41 / $808.07	Facility		$474.07	$608.41	$808.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.72 / $709.83 / $127,498.73	Professional		$557.72	$709.83	$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 $532.37 / $759.97 / $1,106.69	Professional		$532.37	$759.97	$1,106.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $607.54 / $607.54 / $607.54	Facility		$607.54	$607.54	$607.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $532.37 / $785.88 / $1,114.71	Professional		$532.37	$785.88	$1,114.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $408.22 / $646.52	Professional		$93.67	$408.22	$646.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.66 / $684.93 / $1,115.76	Professional		$448.66	$684.93	$1,115.76