Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,310.00 / $11,561.00	Facility		$1,000.00	$7,310.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.25 / $641.37 / $1,248.06	Professional		$537.25	$641.37	$1,248.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $8,173.00 / $36,529.00	Facility		$2,134.00	$8,173.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.39 / $688.42 / $1,086.63	Professional		$516.39	$688.42	$1,086.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $573.62 / $736.19 / $977.75	Facility		$573.62	$736.19	$977.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $674.84 / $858.89 / $127,498.73	Professional		$674.84	$858.89	$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 $644.16 / $858.89 / $1,244.60	Professional		$644.16	$858.89	$1,244.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $734.30 / $734.30 / $734.30	Facility		$734.30	$734.30	$734.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $644.16 / $872.04 / $1,244.60	Professional		$644.16	$872.04	$1,244.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $434.37 / $768.27	Professional		$72.32	$434.37	$768.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.98 / $779.77 / $1,272.94	Professional		$512.98	$779.77	$1,272.94