Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.81 / $3,325.00 / $10,635.00	Facility		$995.81	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.79 / $671.35 / $1,326.07	Professional		$573.79	$671.35	$1,326.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,544.00 / $30,285.00	Facility		$2,670.00	$5,544.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.36 / $710.38 / $1,127.60	Professional		$534.36	$710.38	$1,127.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $614.24 / $788.33 / $1,047.00	Facility		$614.24	$788.33	$1,047.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $722.63 / $919.72 / $127,498.73	Professional		$722.63	$919.72	$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 $669.16 / $914.26 / $1,273.74	Professional		$669.16	$914.26	$1,273.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $789.73 / $789.73 / $789.73	Facility		$789.73	$789.73	$789.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $682.09 / $919.71 / $1,273.74	Professional		$682.09	$919.71	$1,273.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $492.18 / $852.61	Professional		$72.32	$492.18	$852.61
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 $538.90 / $824.65 / $1,358.72	Professional		$538.90	$824.65	$1,358.72