Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.91 / $6,251.00 / $11,581.00	Facility		$1,029.91	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.38 / $699.07 / $1,380.20	Professional		$596.38	$699.07	$1,380.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.48 / $778.31 / $1,265.52	Professional		$576.48	$778.31	$1,265.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $634.14 / $813.86 / $1,080.92	Facility		$634.14	$813.86	$1,080.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $746.04 / $949.51 / $127,498.73	Professional		$746.04	$949.51	$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 $712.13 / $949.50 / $1,362.84	Professional		$712.13	$949.50	$1,362.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $811.30 / $811.30 / $811.30	Facility		$811.30	$811.30	$811.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $712.13 / $963.09 / $1,373.06	Professional		$712.13	$963.09	$1,373.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,998.00 / $9,245.00	Facility		$2,904.00	$5,998.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.12 / $849.72 / $1,424.48	Professional		$569.12	$849.72	$1,424.48