Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.71 / $3,325.00 / $10,635.00	Facility		$828.71	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.41 / $558.92 / $1,105.18	Professional		$477.41	$558.92	$1,105.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.76 / $625.67 / $1,031.38	Professional		$440.76	$625.67	$1,031.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $510.41 / $655.07 / $870.02	Facility		$510.41	$655.07	$870.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $600.48 / $764.25 / $127,498.73	Professional		$600.48	$764.25	$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 $569.96 / $764.24 / $1,050.06	Professional		$569.96	$764.24	$1,050.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $655.05 / $655.05 / $655.05	Facility		$655.05	$655.05	$655.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $569.96 / $764.24 / $1,109.97	Professional		$569.96	$764.24	$1,109.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $401.04 / $695.16	Professional		$72.32	$401.04	$695.16
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 $454.91 / $688.53 / $1,135.35	Professional		$454.91	$688.53	$1,135.35