Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.86 / $6,251.00 / $11,581.00	Facility		$984.86	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.01 / $667.62 / $1,201.59	Professional		$578.01	$667.62	$1,201.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.09 / $755.83 / $1,242.89	Professional		$545.09	$755.83	$1,242.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $607.85 / $780.13 / $1,036.10	Facility		$607.85	$780.13	$1,036.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $715.12 / $910.15 / $127,498.73	Professional		$715.12	$910.15	$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 $682.61 / $910.15 / $1,306.60	Professional		$682.61	$910.15	$1,306.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $778.19 / $778.19 / $778.19	Facility		$778.19	$778.19	$778.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $682.61 / $942.66 / $1,338.35	Professional		$682.61	$942.66	$1,338.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $463.36 / $812.14	Professional		$72.37	$463.36	$812.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.83 / $847.53 / $1,349.39	Professional		$543.83	$847.53	$1,349.39