Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.48 / $3,325.00 / $10,635.00	Facility		$820.48	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.09 / $553.16 / $1,094.56	Professional		$472.09	$553.16	$1,094.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.57 / $621.04 / $1,015.09	Professional		$430.57	$621.04	$1,015.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $505.07 / $648.22 / $860.91	Facility		$505.07	$648.22	$860.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $594.20 / $756.25 / $127,498.73	Professional		$594.20	$756.25	$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 $563.94 / $756.25 / $1,037.77	Professional		$563.94	$756.25	$1,037.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $648.37 / $648.37	Facility		$648.37	$648.37	$648.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $563.94 / $756.25 / $1,091.52	Professional		$563.94	$756.25	$1,091.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $400.01 / $672.20	Professional		$72.37	$400.01	$672.20
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 $450.18 / $691.05 / $1,123.36	Professional		$450.18	$691.05	$1,123.36